Provider Demographics
NPI:1508430448
Name:HADLEY, DAWN HOWELL (LPC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:HOWELL
Last Name:HADLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 BRADLEY DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-7708
Mailing Address - Country:US
Mailing Address - Phone:912-856-4949
Mailing Address - Fax:
Practice Address - Street 1:15 BRADLEY DR
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-7708
Practice Address - Country:US
Practice Address - Phone:912-421-0969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-15
Last Update Date:2021-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011477101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional