Healthcare Provider Details

I. General information

NPI: 1134410707
Provider Name (Legal Business Name): DAVINA L DONALDSON HAWKINS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2011
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1364 BARKELEY AVE BLDG 1150
FT CARSON CO
80913-4161
US

IV. Provider business mailing address

413 SECURITY BLVD SUITE C
COLORADO SPRINGS CO
80911-1773
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-0175
  • Fax:
Mailing address:
  • Phone: 719-526-1418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number6889
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: