Healthcare Provider Details

I. General information

NPI: 1144147943
Provider Name (Legal Business Name): TIANA WATSON PLCC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 LAS COLINAS BLVD E STE 130-2161
IRVING TX
75039-6291
US

IV. Provider business mailing address

391 LAS COLINAS BLVD E STE 130-2161
IRVING TX
75039-6291
US

V. Phone/Fax

Practice location:
  • Phone: 281-889-1450
  • Fax:
Mailing address:
  • Phone: 281-889-1450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: TIANA WATSON
Title or Position: FOUNDER/THERAPIST
Credential: M.ED, LPC
Phone: 281-889-1450