Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
WATERSHED COUNSELING CENTER LLC
Active
Organization
WATERSHED COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARISA JEANNINE LOERA (PRESIDENT / OWNER)
(936) 297-5252
Entity
Organization
Contact information
Practice address
14855 LIBERTY ST, MONTGOMERY, TX 77356-4631
(936) 297-5252
Mailing address
14855 LIBERTY ST, MONTGOMERY, TX 77356-4631
(936) 297-5252
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
156F00000X
Technician/Technologist
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up