Provider Demographics
NPI:1134410707
Name:DONALDSON HAWKINS, DAVINA L
Entity type:Individual
Prefix:MS
First Name:DAVINA
Middle Name:L
Last Name:DONALDSON HAWKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 SECURITY BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80911-1773
Mailing Address - Country:US
Mailing Address - Phone:719-526-1418
Mailing Address - Fax:
Practice Address - Street 1:1638 ELWELL ST
Practice Address - Street 2:BUILDING 6236
Practice Address - City:FT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4356
Practice Address - Country:US
Practice Address - Phone:719-526-1418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-29
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health