TYRRA WATKINS (NPI# 1538609524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538609524 |
| Entity Type | Individual |
| Full Name | TYRRA WATKINS |
| Practice Address |
10599 Parkwood Dr Bastrop LA 71220 |
| Mailing Address |
10599 Parkwood Dr Bastrop LA 71220-9657 |
| Practice Telephone | 3189749933 |
| Mailing Telephone | 3189749933 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
10599 PARKWOOD DR |
| City | BASTROP |
| State | LA |
| Zip Code | 71220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
| 1528411923 | Deborah Ray | Counselor | 1707 Arcadia Dr, Bastrop, LA 71220 | 2016-07-20 |
| Find all providers in zip 71220 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053853119 | Alandrius Lambert | Counselor | 713 Elm St, Bastrop, LA 71220-5168 | 2016-11-07 |
| 1801284336 | Larry D Prater | Counselor | 675 E Madison Ave, Suite A, Bastrop, LA 71220-3833 | 2015-01-06 |
| 1720351109 | Tyesha Turner | Counselor | 209 W Jefferson Ave, 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2012-02-16 |
| 1194965202 | Stephanie Fletcher | Counselor | 313 Patton Lane, 313 Patton Lane, Bastrop, TX 78602 | 2009-03-02 |
| 1497783476 | Mark Ellen Bowles | Counselor | 150 Settlement Dr Ste E, Bastrop, TX 78602 | 2006-06-29 |
| 1073011276 | Monique Kyles | Counselor | 644 E Jefferson Ave, Bastrop, LA 71220-4619 | 2018-01-23 |
| 1649783812 | Ivory Tubbs | Counselor | 644 E Jefferson Ave, Bastrop, LA 71220-4619 | 2017-11-09 |
| 1588175319 | Donald Broussard | Counselor | 644 E Jefferson Ave, Bastrop, LA 71220-4619 | 2017-10-19 |
| 1922525823 | Arnor Gregory Ford | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2017-08-23 |
| 1851817191 | Emma Lee Jenkins | Counselor | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2017-08-18 |
| Find all providers in BASTROP | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.