Organization
SOUTHWEST MENTAL HEALTH ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN COLE WATTS LCSW (COO)
(806) 438-8089
Entity
Organization
Contact information
Practice address
3513 50TH ST, LUBBOCK, TX 79413-4003
(806) 412-4721
(806) 500-2935
Mailing address
3513 50TH ST, LUBBOCK, TX 79413-4003
(806) 412-4721
(806) 500-2935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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