Provider Demographics
NPI:1578897641
Name:HAWKINS, COURTNEY KING (LPC)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:KING
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:COURTNEY
Other - Middle Name:LEIGH
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:4500 WOODSHIRE PL
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-6227
Mailing Address - Country:US
Mailing Address - Phone:703-963-4748
Mailing Address - Fax:
Practice Address - Street 1:12800 W CREEK PKWY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23238-1116
Practice Address - Country:US
Practice Address - Phone:703-963-4748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006099101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health