Hawkins, Carla D
Hawkins, Carla D is an sole proprietor health care provider with primary practice located at 747 Lauren Pkwy , Stone Mountain GA 30083-3483. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hawkins, Carla D can be contacted via phone (678) 576-3824.Contact Information
Primary practice address
747 Lauren Pkwy
Stone Mountain GA 30083-3483
Phone: (678) 576-3824
Fax: (770) 469-2838
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 003303 | Georgia |
Profile Details
NPI number | 1003827627 |
---|---|
LBN Legal business name | Hawkins, Carla D |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 10th, 2006 |
Last updated | Jun 25th, 2008 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003827627 | NPPES |
Georgia | MEDICAID | 205339263A |
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