| Wylie Community Counseling - Pllc | |
|
Virtual Only At This Time Wylie TX 75098 | |
| (469) 626-9600 | |
| Not Available |
| Full Name | Wylie Community Counseling - Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Virtual Only At This Time, Wylie, Texas |
| Authorized Official Name and Position | Bryan David Young (OWNER) |
| Authorized Official Contact | 2817057839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wylie Community Counseling - Pllc Po Box 1566 Wylie TX 75098-1566 Ph: (281) 705-7839 | Wylie Community Counseling - Pllc Virtual Only At This Time Wylie TX 75098 Ph: (469) 626-9600 |
| NPI Number | 1811560089 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 07/23/2021 |
| Certification Date | 06/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811560089 | NPI | - | NPPES |
| 1780249441 | Other | TX | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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