Provider Demographics
NPI:1154585537
Name:HAWCOTT, AMY LYNN-LARSON (LMFT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN-LARSON
Last Name:HAWCOTT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 5TH ST
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-6202
Mailing Address - Country:US
Mailing Address - Phone:515-448-8284
Mailing Address - Fax:844-464-1010
Practice Address - Street 1:214 5TH ST
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-6202
Practice Address - Country:US
Practice Address - Phone:515-448-8284
Practice Address - Fax:844-464-1010
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
IA000343106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor