WATERSHED COUNSELING CENTER LLC NPI 1285314211

NPI Information

  • NPI: 1285314211
  • Provider Name: WATERSHED COUNSELING CENTER LLC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 14855 LIBERTY ST
    MONTGOMERY, TX
    ZIP 77356
  • Phone: (936) 297-5252

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NPI Details

WATERSHED COUNSELING CENTER LLC is a counselor in Montgomery, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. WATERSHED COUNSELING CENTER LLC NPI is 1285314211. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14855 LIBERTY ST
MONTGOMERY, TX
ZIP 77356-631
Phone: (936) 297-5252

The provider's authorized official is Larisa Jeannine Loera .
The authorized official title is President / Owner and has the following contact phone number (936) 297-5252.

The enumeration date for this NPI number is 7/24/2023 and was last updated on 7/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YP1600XCounselorPastoralNo
3101YP2500XCounselorProfessionalNo
4103TC1900XPsychologistCounselingNo
5156F00000XTechnician/TechnologistNo
6101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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