Provider Demographics
NPI:1659053478
Name:WATFORD, HILLARY NICOLE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:HILLARY
Middle Name:NICOLE
Last Name:WATFORD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3508 KENT LN
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-1411
Mailing Address - Country:US
Mailing Address - Phone:940-867-1798
Mailing Address - Fax:
Practice Address - Street 1:813 8TH ST STE 600
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-3326
Practice Address - Country:US
Practice Address - Phone:940-247-0539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84065101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional