Healthcare Provider Details
I. General information
NPI: 1699655910
Provider Name (Legal Business Name): HAWKINS RESILIENCE AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2254 BARRETT DR
ALGONQUIN IL
60102-6084
US
IV. Provider business mailing address
2254 BARRETT DR
ALGONQUIN IL
60102-6084
US
V. Phone/Fax
- Phone: 773-771-3343
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALESIA
JONES
Title or Position: CLINICAL PSYCHOLOGIST
Credential:
Phone: 815-575-8017