Lothel Watson
Peer Specialist in Grover, NC. Individual provider (NPI-1).
NPI number1235905282
StatusActive
Last updated in NPPESDec 8, 2025
Details
- NPI
- 1235905282
- Entity type
- Individual (NPI-1)
- Name
- Lothel Watson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2023
- Certification date
- Dec 8, 2025
- Last updated
- Dec 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
108 N Main StreetGrover, NC 28073
Phone 704-267-1069 · Fax 980-276-1795
Mailing address
468 Eddleman RdKannapolis, NC 28083-6117
Phone 704-856-9467 · Fax 980-276-1795
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