Mr Theophlius Watson Iii, LCSW | |
1061 Hesselridge, Hewitt, TX 76643-4401 | |
(505) 227-4338 | |
Not Available |
Full Name | Mr Theophlius Watson Iii |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1061 Hesselridge, Hewitt, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821221177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C-08252 (New Mexico) | Secondary |
1041C0700X | Social Worker - Clinical | 108525 (Texas) | Primary |
Entity Name | Allegiance Mental Health & Wellness Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760107387 PECOS PAC ID: 2466821384 Enrollment ID: O20221215000024 |
Mailing Address | Practice Location Address |
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Mr Theophlius Watson Iii, LCSW 1061 Hesselridge, Hewitt, TX 76643-4401 Ph: (505) 227-4338 | Mr Theophlius Watson Iii, LCSW 1061 Hesselridge, Hewitt, TX 76643-4401 Ph: (505) 227-4338 |
Mrs. Nina Pauline Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 423 Oklahoma Ave, Hewitt, TX 76643 Phone: 254-666-2300 Fax: 254-666-2300 | |
Hannah Huggins, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 613 Karen St, Hewitt, TX 76643 Phone: 832-499-8933 | |
Ms. Teresa Ann Laseter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Pearl Dr, Hewitt, TX 76643 Phone: 254-732-1863 | |
Mr. Mark Anthony Ervi, M.S.S.W., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 608 Regina Dr, Hewitt, TX 76643 Phone: 254-666-0590 | |
Mrs. E Rochelle Mcgowan, SOCIAL WORKER Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 Patricia Dr, Hewitt, TX 76643 Phone: 254-666-3236 Fax: 254-666-3236 |