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NPI Code Detail

MEDICARE: ALYSSA BETH HAWKINS

MEDICARE: ALYSSA BETH HAWKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2101YP2500XProfessional Counselor93772TX

General Provider Information

NPI Number : 1124710611
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA BETH HAWKINS
Provider Business Mailing Address
First Line : 3400 N LOOP 336 W APT 432
Second Line :
City : CONROE
State : TX
Zip : 77304-3464
Country : US
Telephone Number : 832-799-2557
Fax Number :
Provider Business Practice Location Address
First Line : 1305 11TH ST
Second Line :
City : HUNTSVILLE
State : TX
Zip : 77340-3811
Country : US
Telephone Number : 936-642-0061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2023
Last Update Date : 08/27/2025

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Directions to “ ALYSSA BETH HAWKINS ” Practice Location

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