Provider Demographics
NPI:1457195224
Name:HAWKINS, COURTNEY DAWN (ALC)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:DAWN
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 WILLIS SHAVERS ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35752-6138
Mailing Address - Country:US
Mailing Address - Phone:256-609-0351
Mailing Address - Fax:
Practice Address - Street 1:75 WILLIS SHAVERS ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:AL
Practice Address - Zip Code:35752-6138
Practice Address - Country:US
Practice Address - Phone:256-609-0351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04923101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor