| Hawk Behavioral Health Llc | |
|
9191 W Florissant Ave Suite 200 Saint Louis MO 63136-1424 | |
| (314) 882-6840 | |
| (618) 566-8186 |
| Full Name | Hawk Behavioral Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9191 W Florissant Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Huey Lee Hawkins (OWNER) |
| Authorized Official Contact | 3148826840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawk Behavioral Health Llc 9191 W Florissant Ave Suite 200 Saint Louis MO 63136-1424 Ph: (314) 882-6840 | Hawk Behavioral Health Llc 9191 W Florissant Ave Suite 200 Saint Louis MO 63136-1424 Ph: (314) 882-6840 |
| NPI Number | 1760659445 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 05/13/2008 |
| Medicare PECOS PAC ID | 6901975754 |
|---|---|
| Medicare Enrollment ID | O20080520000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760659445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2002027247 (Missouri) | Primary |
| Provider Name | Huey Hawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063422665 PECOS PAC ID: 2365511102 Enrollment ID: I20080520000068 |
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