MEDICARE: WOW THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1003748062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOW THERAPY

Provider Business Mailing Address
First Line	:	10032 TRAVIS DR
Second Line	:
City	:	PROVIDENCE VILLAGE
State	:	TX
Zip	:	76227-6011
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10032 TRAVIS DR
Second Line	:
City	:	PROVIDENCE VILLAGE
State	:	TX
Zip	:	76227-6011
Country	:	US
Telephone Number	:	214-267-9021
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALLISON LEVY
Credential	:	LCSW
Telephone Number	:	214-267-9021

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “WOW THERAPY ” Practice Location

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