Healthcare Provider Details

I. General information

NPI: 1689783797
Provider Name (Legal Business Name): DENISE D WYCHE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7011 SOUTHWEST FWY
HOUSTON TX
77074-2007
US

IV. Provider business mailing address

7011 SOUTHWEST FWY
HOUSTON TX
77074-2007
US

V. Phone/Fax

Practice location:
  • Phone: 713-970-7000
  • Fax: 713-970-7246
Mailing address:
  • Phone: 713-970-7000
  • Fax: 713-970-7246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: