Provider Demographics
NPI:1407579402
Name:HAWKINS, JOSEPH (LMHC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:HAWKINS
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 1:283 CRANES ROOST BLVD STE 111
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-3437
Mailing Address - Country:US
Mailing Address - Phone:407-796-1606
Mailing Address - Fax:
Practice Address - Street 1:283 CRANES ROOST BLVD STE 111
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-3437
Practice Address - Country:US
Practice Address - Phone:407-796-1606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH21131101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health