| Watters Counseling & Consulting, Llc | |
|
15 E 5th Ave # A4 Rome GA 30161-1722 | |
| (404) 583-2439 | |
| (706) 291-1870 |
| Full Name | Watters Counseling & Consulting, Llc |
|---|---|
| Speciality | Counselor |
| Location | 15 E 5th Ave # A4, Rome, Georgia |
| Authorized Official Name and Position | Latonya J Watters (OWNER) |
| Authorized Official Contact | 4045832439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Watters Counseling & Consulting, Llc 325 Grant Rd Ne Armuchee GA 30105-2622 Ph: (404) 583-2439 | Watters Counseling & Consulting, Llc 15 E 5th Ave # A4 Rome GA 30161-1722 Ph: (404) 583-2439 |
| NPI Number | 1871003806 |
|---|---|
| Provider Enumeration Date | 10/04/2017 |
| Last Update Date | 08/24/2022 |
| Certification Date | 08/24/2022 |
| Medicare PECOS PAC ID | 6800233529 |
|---|---|
| Medicare Enrollment ID | O20240318001296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871003806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC004681 (Georgia) | Primary |
| Provider Name | Latonya Watters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730405507 PECOS PAC ID: 7618314337 Enrollment ID: I20240318001497 |
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