Healthcare Provider Details

I. General information

NPI: 1528345964
Provider Name (Legal Business Name): KAY DREYER WATKINS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2011
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

483 BOOKER AVE
SCOTTDALE GA
30079-1601
US

IV. Provider business mailing address

483 BOOKER AVE
SCOTTDALE GA
30079-1601
US

V. Phone/Fax

Practice location:
  • Phone: 270-312-2691
  • Fax: 206-338-3410
Mailing address:
  • Phone: 270-312-2691
  • Fax: 206-338-3410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717001289
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: