Provider Demographics
NPI:1942016779
Name:WATSON, ERICA POWELL (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:POWELL
Last Name:WATSON
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SCARBOROUGH ST
Mailing Address - Street 2:
Mailing Address - City:LAKE PROVIDENCE
Mailing Address - State:LA
Mailing Address - Zip Code:71254-3018
Mailing Address - Country:US
Mailing Address - Phone:318-231-5010
Mailing Address - Fax:318-231-5011
Practice Address - Street 1:300 SCARBOROUGH ST
Practice Address - Street 2:
Practice Address - City:LAKE PROVIDENCE
Practice Address - State:LA
Practice Address - Zip Code:71254-3018
Practice Address - Country:US
Practice Address - Phone:182-315-0103
Practice Address - Fax:318-231-5011
Is Sole Proprietor?:No
Enumeration Date:2024-12-06
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program