Provider Demographics
NPI:1740321769
Name:HAWLEY CONSULTING, LLC
Entity type:Organization
Organization Name:HAWLEY CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HAWLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:703-850-7300
Mailing Address - Street 1:202 HAWKINS LN
Mailing Address - Street 2:
Mailing Address - City:POTOMAC FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5827
Mailing Address - Country:US
Mailing Address - Phone:703-850-7300
Mailing Address - Fax:703-430-9570
Practice Address - Street 1:21351 RIDGETOP CIR
Practice Address - Street 2:SUITE 300
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-6561
Practice Address - Country:US
Practice Address - Phone:703-850-7300
Practice Address - Fax:703-430-9570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001126103TA0400X, 103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA452614OtherMAMSI UNITEDHEALTHCARE
VA214974OtherANTHEM BCBS
VA7713649Medicaid
VA214975OtherANTHEM BCBS
VA452614OtherMAMSI UNITEDHEALTHCARE