Individual
MRS. AYESHA TREACHEA HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-HUMAN BEHAVIOR
Contact information
Practice address
4645 JACKYBELL TRL, DECATUR, GA 30034-6350
(470) 253-5529
Mailing address
4645 JACKYBELL TRL, DECATUR, GA 30034-6350
(470) 253-5529
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
GA
103TE1100X
Exercise & Sports Psychologist
—
GA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
07/31/2019
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