PAUL BRADLEY WATTS LPC CSOTP NPI 1649739863

NPI Information

NPI: 1649739863
Provider Name: PAUL BRADLEY WATTS, LPC, CSOTP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
162D MARKET PLACE BLVD
KNOXVILLE, TN
ZIP 37922
Phone: (865) 212-6600
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Paul Bradley Watts, LPC, CSOTP is a professional counselor in Knoxville, TN. Paul Bradley Watts, LPC, CSOTP NPI is 1649739863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

162D MARKET PLACE BLVD
KNOXVILLE, TN
ZIP 37922-337
Phone: (865) 212-6600
Fax: (865) 313-2149

The enumeration date for this NPI number is 3/18/2019 and was last updated on 5/2/2023.

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
1	101YM0800X	Counselor	Mental Health	0701008229	VIRGINIA	No
2	101YP2500X	Counselor	Professional	5913	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0701008229	MEDICAID	VIRGINIA

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: 4/28/2024

NPI Synchronization or Removal

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