Provider Demographics
NPI:1639884018
Name:WATKINS, CALEB LEE (LPCC)
Entity Type:Individual
Prefix:
First Name:CALEB
Middle Name:LEE
Last Name:WATKINS
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 LILY SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:LILY
Mailing Address - State:KY
Mailing Address - Zip Code:40740-3022
Mailing Address - Country:US
Mailing Address - Phone:606-215-0606
Mailing Address - Fax:
Practice Address - Street 1:555 LILY SCHOOL RD
Practice Address - Street 2:
Practice Address - City:LILY
Practice Address - State:KY
Practice Address - Zip Code:40740-3022
Practice Address - Country:US
Practice Address - Phone:606-215-0606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health