Healthcare Provider Details

I. General information

NPI: 1780486423
Provider Name (Legal Business Name): ALEX WESLEY HAWKINS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 E CANON PERDIDO ST
SANTA BARBARA CA
93101-2242
US

IV. Provider business mailing address

1111 GARDEN ST
SANTA BARBARA CA
93101-1459
US

V. Phone/Fax

Practice location:
  • Phone: 805-730-7503
  • Fax:
Mailing address:
  • Phone: 805-730-7575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: