Hawk, Kendall Haven

Hawk, Kendall Haven is an individual health care provider with primary practice located at 706 Cadet Court , Lebanon TN 37087. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hawk, Kendall Haven can be contacted via phone (615) 714-2088.

Contact Information

Primary practice address
706 Cadet Court Lebanon TN 37087
Phone: (615) 714-2088
Fax: (615) 449-4709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1519 Tennessee
Behavioral Health & Social Service Providers / Professional 101YP2500X 1519 Tennessee

Profile Details

NPI number 1770631798
LBN Legal business name Hawk, Kendall Haven
Credentials LPC-MHSP, CEAP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated May 28th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770631798 NPPES
Tennessee MEDICAID 5441132

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