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Organization
ALLEGIANCE MENTAL HEALTH & WELLNESS SERVICES LLC
Active
Organization
ALLEGIANCE MENTAL HEALTH & WELLNESS SERVICES LLC
Active
Other names
ALLEGIANCE MENTAL HEALTH, ALLEGIANCE COUNSELING, ALLEGIANCE WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEOPHLIUS WATSON III LCSW-S (MANAGING MEMBER)
(505) 227-4338
Entity
Organization
Contact information
Practice address
605 AUSTIN AVE, WACO, TX 76701-2048
(254) 900-7986
Mailing address
605 AUSTIN AVE, WACO, TX 76701-2048
(254) 900-7986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/06/2022
Last updated
03/21/2025
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