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General NPI Number Information
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NPI Number | 1861626749
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Entity Type | Individual
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Provider Name | LISA WATKINS LPC
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Gender | Female
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 16633 DALLAS PKWY SUITE 600
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City | ADDISON
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State | TX
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Zip | 75001-6816
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Country | US
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Telephone | 469-236-1977
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Fax |
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Provider Business Mailing Address
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Address Line | 310 COUNTY ROAD 2435
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City | PITTSBURG
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State | TX
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Zip | 75686-8019
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Country | US
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Telephone | 469-444-1352
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 61657
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 61657
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License Number State | TX
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