Provider Demographics
NPI:1528345964
Name:WATKINS, KAY DREYER (LMFT)
Entity type:Individual
Prefix:MRS
First Name:KAY
Middle Name:DREYER
Last Name:WATKINS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:483 BOOKER AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30079-1601
Mailing Address - Country:US
Mailing Address - Phone:270-312-2691
Mailing Address - Fax:206-338-3410
Practice Address - Street 1:483 BOOKER AVE
Practice Address - Street 2:
Practice Address - City:SCOTTDALE
Practice Address - State:GA
Practice Address - Zip Code:30079-1601
Practice Address - Country:US
Practice Address - Phone:270-312-2691
Practice Address - Fax:206-338-3410
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717001289106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist