Provider Demographics
NPI:1760934137
Name:WATSON, TORSHIA D
Entity Type:Individual
Prefix:
First Name:TORSHIA
Middle Name:D
Last Name:WATSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1311
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-1311
Mailing Address - Country:US
Mailing Address - Phone:214-336-6209
Mailing Address - Fax:214-550-8810
Practice Address - Street 1:2610 W FM 544
Practice Address - Street 2:SUITE 102
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-4983
Practice Address - Country:US
Practice Address - Phone:214-278-4605
Practice Address - Fax:214-550-8810
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-01
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73500101Y00000X, 101YA0400X, 101YP2500X, 102L00000X, 106H00000X, 101YM0800X
251J00000X, 372600000X, 3747P1801X, 374U00000X, 376J00000X
TX021695253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker