Healthcare Provider Details

I. General information

NPI: 1609731009
Provider Name (Legal Business Name): HAWTHORN HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6810 N STATE ROAD 7 MAILBOX 321
COCONUT CREEK FL
33073
US

IV. Provider business mailing address

14 CHARLOTTE DR
SPRING VALLEY NY
10977-1126
US

V. Phone/Fax

Practice location:
  • Phone: 914-407-3426
  • Fax:
Mailing address:
  • Phone: 914-407-3426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: HANK COHN
Title or Position: CEO
Credential:
Phone: 914-407-3426