Provider Demographics
NPI:1114116688
Name:WATSON, SCHEILA FARNSWORTH (LPC, CACIII)
Entity Type:Individual
Prefix:
First Name:SCHEILA
Middle Name:FARNSWORTH
Last Name:WATSON
Suffix:
Gender:F
Credentials:LPC, CACIII
Other - Prefix:
Other - First Name:SCHEILA
Other - Middle Name:M
Other - Last Name:FARNSWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 CHULITA SENDA
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-1065
Mailing Address - Country:US
Mailing Address - Phone:719-650-8114
Mailing Address - Fax:719-633-3023
Practice Address - Street 1:731 N WEBER ST
Practice Address - Street 2:SUITE 200
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1049
Practice Address - Country:US
Practice Address - Phone:719-650-8114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6582101YA0400X
CO5000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)