Healthcare Provider Details

I. General information

NPI: 1578789152
Provider Name (Legal Business Name): RENEA HAWKINS M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

536 CALHOUN ST
WEST POINT MS
39773-3169
US

IV. Provider business mailing address

536 CALHOUN ST
WEST POINT MS
39773-3169
US

V. Phone/Fax

Practice location:
  • Phone: 501-206-4555
  • Fax:
Mailing address:
  • Phone: 501-206-4555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License NumberS-5346
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP1696
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: