Organization
HAWK MOTH HEALING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYAH HAWK (OWNER/ PRESIDENT)
(724) 712-4268
Entity
Organization
Contact information
Practice address
1402 W. NORTH SHORE AVENUE, APT. 2, CHICAGO, IL 60626
(724) 712-4268
Mailing address
1402 W NORTH SHORE AVE APT 2, CHICAGO, IL 60626-6828
(724) 712-4268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
12/09/2025
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