Provider Demographics
NPI:1518707991
Name:WATSON-HILL, BRENDA (MA, PLPC)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:WATSON-HILL
Suffix:
Gender:F
Credentials:MA, PLPC
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:
Other - Last Name:WATSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:310 GRETNA RD
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-3587
Mailing Address - Country:US
Mailing Address - Phone:417-243-0660
Mailing Address - Fax:
Practice Address - Street 1:310 GRETNA RD
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-3587
Practice Address - Country:US
Practice Address - Phone:417-243-0660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023050827101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health