Lee-Ann Hawkins

Individual provider Active NPI Professional Counselor · Forestville, MD

NPI 1730438136 · NPPES record last updated Aug 31, 2012

Key facts

NPI
1730438136
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LC4487 (MD)
Practice address
7610 Pennsylvania Ave
203
Forestville, MD 20747-4701
Phone
(301) 420-1972
Fax
(301) 420-1973
NPI assigned
Aug 31, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LC4487MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Counseling LLC Professional Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC4487 MD Yes

Addresses

Primary practice location

7610 Pennsylvania Ave
203
Forestville, MD 20747-4701

Mailing address

11414 Rhodenda Ave
Upper Marlboro, MD 20772-4738
Phone (301) 312-2779

Other providers in Forestville, MD

All providers in Forestville, MD · Professional Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.