Provider Demographics
NPI:1396105995
Name:WATKINSON, NATASHA (LMHC)
Entity type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:
Last Name:WATKINSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21301 POWERLINE RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-2388
Mailing Address - Country:US
Mailing Address - Phone:828-237-1238
Mailing Address - Fax:561-852-9602
Practice Address - Street 1:21301 POWERLINE RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-2388
Practice Address - Country:US
Practice Address - Phone:828-237-1238
Practice Address - Fax:561-852-9602
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 14039101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health