Provider Demographics
NPI:1891549168
Name:HAWKINS COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:HAWKINS COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS, LMHC
Authorized Official - Phone:561-714-3895
Mailing Address - Street 1:1034 GATEWAY BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8360
Mailing Address - Country:US
Mailing Address - Phone:561-714-3895
Mailing Address - Fax:
Practice Address - Street 1:1034 GATEWAY BLVD STE 104
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8360
Practice Address - Country:US
Practice Address - Phone:561-714-3895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health