Provider Demographics
NPI:1114816022
Name:WATSON, ANA BEATRIZ (LMFTA)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:BEATRIZ
Last Name:WATSON
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1928 LIGHTHOUSE LN NE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98422-3473
Mailing Address - Country:US
Mailing Address - Phone:910-691-2914
Mailing Address - Fax:
Practice Address - Street 1:1928 LIGHTHOUSE LN NE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98422-3473
Practice Address - Country:US
Practice Address - Phone:910-691-2914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG61021077106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist