Healthcare Provider Details

I. General information

NPI: 1770988677
Provider Name (Legal Business Name): CRYSTAL HAWKINS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. CRYSTAL BECKWITH

II. Dates (important events)

Enumeration Date: 11/04/2014
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 SPRING LAKE CT
EGG HARBOR TOWNSHIP NJ
08234-8715
US

IV. Provider business mailing address

212 SPRING LAKE CT
EGG HARBOR TOWNSHIP NJ
08234-8715
US

V. Phone/Fax

Practice location:
  • Phone: 856-254-0122
  • Fax: 856-369-8970
Mailing address:
  • Phone: 856-254-0122
  • Fax: 856-369-8970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00505400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: