MEDICARE: WISE FAITH COUNSELING, PLLC

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	:	1780483032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WISE FAITH COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	710 LANGHAM RD
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77707-3407
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 LANGHAM RD
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77707-3407
Country	:	US
Telephone Number	:	409-291-6076
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	SAGE YOUNG
Credential	:	LPC
Telephone Number	:	832-972-9473

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	03/06/2026

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Directions to “WISE FAITH COUNSELING, PLLC ” Practice Location

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