| Paul Bradley Watts, LPC, CSOTP | |
|
162d Market Place Blvd, Knoxville, TN 37922-2337 | |
| (865) 212-6600 | |
| (865) 313-2149 |
| Full Name | Paul Bradley Watts |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 162d Market Place Blvd, Knoxville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649739863 | NPI | - | NPPES |
| 0701008229 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701008229 (Virginia) | Secondary |
| 101YP2500X | Counselor - Professional | 5913 (Tennessee) | Primary |
| Entity Name | Mental Health Resources, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922034503 PECOS PAC ID: 4587795018 Enrollment ID: O20210629000712 |
| Entity Name | Optum Behavioral Care Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083480081 PECOS PAC ID: 5092120030 Enrollment ID: O20240813003368 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Bradley Watts, LPC, CSOTP Po Box 31569, Knoxville, TN 37930-1569 Ph: (865) 212-6600 | Paul Bradley Watts, LPC, CSOTP 162d Market Place Blvd, Knoxville, TN 37922-2337 Ph: (865) 212-6600 |
Alicia Cox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Springdale Ave, Knoxville, TN 37917 Phone: 865-329-9173 | |
Hazel F Brady, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6800 Baum Dr, Building 1, Knoxville, TN 37919 Phone: 865-374-7100 | |
Mr. Richard Pardue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Springdale Ave, Knoxville, TN 37917 Phone: 865-637-9711 | |
Joy Chamberlin, R.N. Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Springdale Ave, Knoxville, TN 37917 Phone: 865-637-9711 | |
Zibe Holton, HS Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Springdale Ave, Knoxville, TN 37917 Phone: 865-637-9711 | |
Travis Kobler, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4308 Gap Road, Knoxville, TN 37912 Phone: 865-525-0391 Fax: 865-525-0393 | |
Aaron Brett Clark, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3720 N Broadway St, Knoxville, TN 37917 Phone: 423-742-5247 |