Provider Demographics
NPI:1871003806
Name:WATTERS COUNSELING & CONSULTING, LLC
Entity Type:Organization
Organization Name:WATTERS COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WATTERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:404-583-2439
Mailing Address - Street 1:325 GRANT RD NE
Mailing Address - Street 2:
Mailing Address - City:ARMUCHEE
Mailing Address - State:GA
Mailing Address - Zip Code:30105-2622
Mailing Address - Country:US
Mailing Address - Phone:404-583-2439
Mailing Address - Fax:706-291-1870
Practice Address - Street 1:15 E 5TH AVE # A4
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161-1722
Practice Address - Country:US
Practice Address - Phone:404-583-2439
Practice Address - Fax:706-291-1870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-04
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004681101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty