MEDICARE: SCOTT WAKEEM M.A., L.P.C.

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	101YP2500X	Professional Counselor	58444	TX

General Provider Information

NPI Number	:	1518184654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT WAKEEM M.A., L.P.C.

Provider Business Mailing Address
First Line	:	100 N 1ST ST
Second Line	:
City	:	WYLIE
State	:	TX
Zip	:	75098-4473
Country	:	US
Telephone Number	:	469-825-1101
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 INDUSTRIAL CT
Second Line	:
City	:	WYLIE
State	:	TX
Zip	:	75098-3952
Country	:	US
Telephone Number	:	469-825-1101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	01/14/2026

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Directions to “ SCOTT WAKEEM M.A., L.P.C.” Practice Location

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