Hawkins, Shondell Lynn
Hawkins, Shondell Lynn is an sole proprietor health care provider with primary practice located at 2300 Ramsey St , Fayetteville NC 28301-3856. She recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hawkins, Shondell Lynn can be contacted via phone (910) 488-2120.Contact Information
Primary practice address
2300 Ramsey St
Fayetteville NC 28301-3856
Phone: (910) 488-2120
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | P0010186 | North Carolina |
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | S.0700770 | Ohio |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C011451 | North Carolina |
Profile Details
NPI number | 1548609340 |
---|---|
LBN Legal business name | Hawkins, Shondell Lynn |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 14th, 2013 |
Last updated | Oct 5th, 2020 - about 4 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 | 1548609340 | NPPES |
North Carolina | Other | C011451 | NORTH CAROLINA LICENSING BOARD |
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