Provider Demographics
NPI:1093602773
Name:WATKINS, KELSEY (MS, LPC)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:WATKINS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 LANNIUS RD
Mailing Address - Street 2:
Mailing Address - City:DODD CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75438-5216
Mailing Address - Country:US
Mailing Address - Phone:903-449-1318
Mailing Address - Fax:
Practice Address - Street 1:402 W LAMAR ST STE 105
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-5884
Practice Address - Country:US
Practice Address - Phone:469-325-3640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92868101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional