Provider Demographics
NPI:1942366703
Name:HAWKINS, MICHAEL DONALD (LPC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:DONALD
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 SECOND ST
Mailing Address - Street 2:
Mailing Address - City:COMFORT
Mailing Address - State:TX
Mailing Address - Zip Code:78013-2003
Mailing Address - Country:US
Mailing Address - Phone:210-421-5639
Mailing Address - Fax:
Practice Address - Street 1:707 HILL COUNTRY DR STE 102
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5910
Practice Address - Country:US
Practice Address - Phone:210-421-5639
Practice Address - Fax:888-486-1392
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60283101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX181880901Medicaid