Provider Demographics
NPI:1467500652
Name:WATKINS, LYNNE MURRAY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:MURRAY
Last Name:WATKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 WEST LOOP S
Mailing Address - Street 2:515
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2421
Mailing Address - Country:US
Mailing Address - Phone:713-664-6067
Mailing Address - Fax:713-664-8064
Practice Address - Street 1:5959 WEST LOOP S
Practice Address - Street 2:515
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2421
Practice Address - Country:US
Practice Address - Phone:713-664-6067
Practice Address - Fax:713-664-8064
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS01175101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00S80QMedicare ID - Type Unspecified
TXUR77202Medicare UPIN