Provider Demographics
NPI:1629963632
Name:HAWKINS, MICHAEL D (LMFT-A)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 EBENEZER RD
Mailing Address - Street 2:
Mailing Address - City:KINGS MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28086-8762
Mailing Address - Country:US
Mailing Address - Phone:980-260-8048
Mailing Address - Fax:
Practice Address - Street 1:111 N LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-4445
Practice Address - Country:US
Practice Address - Phone:980-202-0434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20663A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist