Betty Lou Watson in Jacksonville - Mental Health
Betty Lou Watson - NPI 1417090119
Betty Lou Watson is a Mental Health in Jacksonville, Florida. Betty Lou Watson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Betty Lou Watson is 1417090119. The last update date is 2007-07-08.
Betty Lou Watson's current location address is 11512 Lake Mead Avenue, Jacksonville, Florida. You can contact this provider via phone number 9046460054 and fax number 9046460630. The mailing address for Betty Lou Watson is 11512 Lake Mead Avenue, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Betty Lou Watson |
|---|---|
| Address | 11512 Lake Mead Avenue, Jacksonville, Florida |
| Phone Number | 9046460054 |
| Fax Number | 9046460630 |
| Sole Proprietor | N |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1417090119 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11512 Lake Mead Avenue |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 32256 |
| Phone Number | 9046460054 |
| Fax Number | 9046460630 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MH4616 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the Betty Lou Watson's unique identification number?
The Betty Lou Watson has been assigned the NPI (National Provider Identifier) Number 1417090119 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Betty Lou Watson?
The Betty Lou Watson is situated at 11512 Lake Mead Avenue, in the city of Jacksonville, state of FL, with the zip code 32256.
What is Betty Lou Watson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Betty Lou Watson is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.
On what date was the 1417090119 assigned to Betty Lou Watson?
The Betty Lou Watson was issued its 1417090119 on 2007-02-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Betty Lou Watson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Betty Lou Watson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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