Healthcare Provider Details

I. General information

NPI: 1750225710
Provider Name (Legal Business Name): DENISE L HAWKINS PHD, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 SATELLITE BLVD STE 400
DULUTH GA
30097-4927
US

IV. Provider business mailing address

3610 TRINITY PL
STONECREST GA
30038-4316
US

V. Phone/Fax

Practice location:
  • Phone: 470-233-1623
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC016754
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: