MS. KENDALL HAVEN HAWK LPC-MHSP CEAP NPI 1770631798

NPI Information

NPI: 1770631798
Provider Name: MS. KENDALL HAVEN HAWK, LPC-MHSP, CEAP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
706 CADET COURT
LEBANON, TN
ZIP 37087
Phone: (615) 714-2088
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MS. Kendall Haven Hawk, LPC-MHSP, CEAP is a professional counselor in Lebanon, TN. MS. Kendall Haven Hawk, LPC-MHSP, CEAP NPI is 1770631798. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

706 CADET COURT
LEBANON, TN
ZIP 37087
Phone: (615) 714-2088
Fax: (615) 449-4709

The enumeration date for this NPI number is 1/8/2007 and was last updated on 5/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	1519	TENNESSEE	No
2	101YP2500X	Counselor	Professional	1519	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5441132	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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