Provider Demographics
NPI:1376815787
Name:HAWKES, ROBERT (LMHC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:HAWKES
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1344 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-1656
Mailing Address - Country:US
Mailing Address - Phone:585-271-3090
Mailing Address - Fax:585-271-4941
Practice Address - Street 1:1344 UNIVERSITY AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1656
Practice Address - Country:US
Practice Address - Phone:585-271-3090
Practice Address - Fax:585-271-4941
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003238101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health