MEDICARE: MICHAEL D. HAWKINS LMFT-A

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
1	106H00000X	Marriage & Family Therapist	20663A	NC

General Provider Information

NPI Number	:	1629963632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL D. HAWKINS LMFT-A

Provider Business Mailing Address
First Line	:	103 EBENEZER RD
Second Line	:
City	:	KINGS MOUNTAIN
State	:	NC
Zip	:	28086-8762
Country	:	US
Telephone Number	:	980-260-8048
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 N LAFAYETTE ST
Second Line	:
City	:	SHELBY
State	:	NC
Zip	:	28150-4445
Country	:	US
Telephone Number	:	980-202-0434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2025
Last Update Date	:	06/10/2025

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