MEDICARE: WISDOM COMPASS INC.

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

General Provider Information

NPI Number	:	1730653171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WISDOM COMPASS INC.

Provider Business Mailing Address
First Line	:	3355 BEE CAVES RD STE 101
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-6673
Country	:	US
Telephone Number	:	512-766-7072
Fax Number	:

Provider Business Practice Location Address
First Line	:	3355 BEE CAVES RD STE 101
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-6673
Country	:	US
Telephone Number	:	512-766-7072
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	MS. MORGAN S. TAYLOR
Credential	:	LPC
Telephone Number	:	512-351-5403

Provider Enumeration Date	:	01/18/2019
Last Update Date	:	01/18/2019

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