Provider Demographics
NPI:1427664416
Name:WATKINS FAMILY HEALTH & COUNSELING, INC.
Entity type:Organization
Organization Name:WATKINS FAMILY HEALTH & COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGAUGHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-445-8365
Mailing Address - Street 1:3810 N FRONT ST STE 11
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-5217
Mailing Address - Country:US
Mailing Address - Phone:479-387-4200
Mailing Address - Fax:
Practice Address - Street 1:3810 N FRONT ST STE 11
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-5217
Practice Address - Country:US
Practice Address - Phone:479-387-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty