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NPI Code Detail

MEDICARE: ROSANNA HAWKINS

MEDICARE:   ROSANNA  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
1101YM0800XMental Health CounselorP-1386MS

General Provider Information

NPI Number : 1790648970
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSANNA HAWKINS
Provider Business Mailing Address
First Line : 228 BROADWAY DR
Second Line :
City : HATTIESBURG
State : MS
Zip : 39401-5074
Country : US
Telephone Number : 601-602-3866
Fax Number :
Provider Business Practice Location Address
First Line : 228 BROADWAY DR
Second Line :
City : HATTIESBURG
State : MS
Zip : 39401-5074
Country : US
Telephone Number : 601-602-3866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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Directions to “ ROSANNA HAWKINS ” Practice Location

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