Healthcare Provider Details

I. General information

NPI: 1174962211
Provider Name (Legal Business Name): HAWKES COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2013
Last Update Date: 06/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

837 WASHINGTON BLVD STE B
BALTIMORE MD
21230-2324
US

IV. Provider business mailing address

837 WASHINGTON BLVD STE B
BALTIMORE MD
21230-2324
US

V. Phone/Fax

Practice location:
  • Phone: 410-298-8041
  • Fax: 410-496-4153
Mailing address:
  • Phone: 410-298-8046
  • Fax: 410-496-4153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLC)869
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLC0869
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC0869
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberLC0869
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberLC0869
License Number StateMD
# 6
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLC0869
License Number StateMD
# 7
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLC0869
License Number StateMD
# 8
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC0869
License Number StateMD

VIII. Authorized Official

Name: DR. VANESSA HAWKES
Title or Position: EXECUTIVE DIRECTOR /OWNER
Credential: PHD., LCPC
Phone: 410-298-8046