| Doctor Name: | MR. HUEY LEE HAWKINS |
| NPI Number: | 1063422665 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.C.S.W. |
| License Number: | 149.011431 |
| Business Practice Address: | 9167 West Florissant Avenue St. Louis, MO - 631361420 |
| Business Phone Number: | 3148826840 |
| Business Fax Number: | 3145243804 |
| Mailing Address: | 636 Fallen Timber Lane, MASCOUTAH |
| State: | IL |
| Postal Code: | 622582788 |
| Phone Number: | 3148826840 |
| Fax Number: | 3145243804 |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 05/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 149.011431 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |