Organization
MW PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKAH ALYSSA WATFORD LPC (FOUNDER)
(210) 970-2126
Entity
Organization
Contact information
Practice address
8231 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3356
(210) 767-2275
Mailing address
10730 POTRANCO RD STE 122-486, SAN ANTONIO, TX 78251-3327
(210) 970-2126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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