Provider Demographics
NPI:1982576278
Name:WATTS, AMY MICHELLE (ACMHC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MICHELLE
Last Name:WATTS
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1099 S INDUSTRIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-2290
Mailing Address - Country:US
Mailing Address - Phone:435-671-0267
Mailing Address - Fax:
Practice Address - Street 1:345 W 600 S STE 111
Practice Address - Street 2:
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032-2282
Practice Address - Country:US
Practice Address - Phone:435-671-0267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14003830-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty