Provider Demographics
NPI:1083127476
Name:WATKINS, HEATHER R (LPC)
Entity Type:Individual
Prefix:MISS
First Name:HEATHER
Middle Name:R
Last Name:WATKINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:686 S SEGUIN AVE
Mailing Address - Street 2:UNIT 311996
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78131-2602
Mailing Address - Country:US
Mailing Address - Phone:830-515-8480
Mailing Address - Fax:817-585-4842
Practice Address - Street 1:1099 N WALNUT AVE
Practice Address - Street 2:SUITE A
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130
Practice Address - Country:US
Practice Address - Phone:830-515-8480
Practice Address - Fax:817-585-4842
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-08
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX74013101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional