Provider Demographics
NPI:1265640502
Name:HAWKINS, GAYE ALEXANDER (LPC, LMFT)
Entity type:Individual
Prefix:
First Name:GAYE
Middle Name:ALEXANDER
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 74 BOX 21007
Mailing Address - Street 2:1014 LA CIENEGA
Mailing Address - City:EL PRADO
Mailing Address - State:NM
Mailing Address - Zip Code:87529-9510
Mailing Address - Country:US
Mailing Address - Phone:985-264-6846
Mailing Address - Fax:
Practice Address - Street 1:HC 74 BOX 21007
Practice Address - Street 2:1014 LA CIENEGA
Practice Address - City:EL PRADO
Practice Address - State:NM
Practice Address - Zip Code:87529-9510
Practice Address - Country:US
Practice Address - Phone:985-264-6846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALPC 3582101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health