Provider Demographics
NPI:1992162812
Name:WATTS, JANET (MA LPC)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:
Last Name:WATTS
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 SW 45TH BLD 1 STE 2
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-7978
Mailing Address - Country:US
Mailing Address - Phone:806-567-3573
Mailing Address - Fax:806-356-9046
Practice Address - Street 1:7010 SW 45TH BLD 1 STE 2
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-5075
Practice Address - Country:US
Practice Address - Phone:806-567-3573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-22
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72360101Y00000X, 101YP2500X
TX723602101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional