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:
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Health care specialties

SpecialtyCodeLicense #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 16 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 1003827627 NPPES
Georgia MEDICAID 205339263A

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