Healthcare Provider Details

I. General information

NPI: 1801712831
Provider Name (Legal Business Name): SHAKAYLA HAWKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 THE EXCHANGE SE STE 200A
ATLANTA GA
30339-2036
US

IV. Provider business mailing address

1870 THE EXCHANGE SE STE 200A
ATLANTA GA
30339-2036
US

V. Phone/Fax

Practice location:
  • Phone: 202-321-7611
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number01921
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: