Provider Demographics
NPI:1942878897
Name:WATSON, TIANA (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:TIANA
Middle Name:
Last Name:WATSON
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 BONNYTON LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1896
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1630 BONNYTON LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1896
Practice Address - Country:US
Practice Address - Phone:281-889-1450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2025-09-09
Deactivation Date:2025-01-10
Deactivation Code:
Reactivation Date:2025-02-25
Provider Licenses
StateLicense IDTaxonomies
TX95190101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health