Provider Demographics
NPI:1841426673
Name:HAWKINS, CAROL M (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:M
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1844 LOCKHILL SELMA RD
Mailing Address - Street 2:101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1503
Mailing Address - Country:US
Mailing Address - Phone:210-377-1133
Mailing Address - Fax:210-377-1230
Practice Address - Street 1:1844 LOCKHILL SELMA RD
Practice Address - Street 2:101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1503
Practice Address - Country:US
Practice Address - Phone:210-377-1133
Practice Address - Fax:210-377-1230
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200928106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist