Healthcare Provider Details

I. General information

NPI: 1528056934
Provider Name (Legal Business Name): NANCY A WATTS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1241 N MAIN ST
HARRISONBURG VA
22802-4632
US

IV. Provider business mailing address

1241 N MAIN ST
HARRISONBURG VA
22802-4632
US

V. Phone/Fax

Practice location:
  • Phone: 540-434-1941
  • Fax: 540-434-1791
Mailing address:
  • Phone: 540-434-1941
  • Fax: 540-434-1791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0701002453
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701002453
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: