# WATERSHED INITIATIVE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356235469
- **Authorized official:** BRENDA DUNN (OFFICE MANAGER)
- **Authorized official phone:** (214) 556-0996

## Contact information

- **Practice address:** 3600 SHIRE BLVD STE 208, RICHARDSON, TX 75082-2238
- **Practice address phone:** (214) 556-0996
- **Mailing address:** 3600 SHIRE BLVD STE 208, RICHARDSON, TX 75082-2238
- **Mailing address phone:** (214) 556-0996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2025
- **Last updated:** 06/04/2025