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General NPI Number Information
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NPI Number | 1245126747
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Entity Type | Organization
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Legal Business Name | DEMARISH N. WYLLIE DNW EDUCATION & TRAINING SOLUTIONS
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 4603 JAYMAR DR
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City | SUGAR LAND
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State | TX
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Zip | 77479-5228
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Country | US
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Telephone | 832-441-5124
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Fax |
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Provider Business Mailing Address
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Address Line | 4603 JAYMAR DR
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City | SUGAR LAND
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State | TX
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Zip | 77479-5228
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Country | US
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Telephone | 281-932-2833
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEMARISH WYLLIE
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Credential | LCDC, SAP, CART
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Telephone | 281-932-2833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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