Provider Demographics
NPI:1912012303
Name:WATKINS, DEBBIE R (LPC)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:R
Last Name:WATKINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:R
Other - Last Name:LAWRENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4950 MEMORIAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007
Mailing Address - Country:US
Mailing Address - Phone:713-730-2335
Mailing Address - Fax:713-802-7676
Practice Address - Street 1:4950 MEMORIAL DRIVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007
Practice Address - Country:US
Practice Address - Phone:713-730-2335
Practice Address - Fax:713-802-7676
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2017-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19142101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX170534503Medicaid