Provider Demographics
NPI:1366894081
Name:OWSLEY, HAWK TALON (LPC-I, LMFT-A)
Entity type:Individual
Prefix:MR
First Name:HAWK
Middle Name:TALON
Last Name:OWSLEY
Suffix:
Gender:M
Credentials:LPC-I, LMFT-A
Other - Prefix:
Other - First Name:THOMAS
Other - Middle Name:ALLEN
Other - Last Name:OWSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:401 BRANARD ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-5015
Mailing Address - Country:US
Mailing Address - Phone:713-529-0037
Mailing Address - Fax:
Practice Address - Street 1:401 BRANARD ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5015
Practice Address - Country:US
Practice Address - Phone:713-529-0037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-06
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73767101YP2500X
TX202218106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist