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NPI Code Detail

MEDICARE: WYSONG ENTERPRISES, PLLC

MEDICARE: WYSONG ENTERPRISES, 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
1101YP2500XProfessional Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1972183119
Entity Type Code : Organization
Provider Name (Legal Business Name) : WYSONG ENTERPRISES, PLLC
Provider Business Mailing Address
First Line : 7424 AZALEA LN
Second Line :
City : DALLAS
State : TX
Zip : 75230-3640
Country : US
Telephone Number : 214-906-5138
Fax Number :
Provider Business Practice Location Address
First Line : 4040 N CENTRAL EXPY STE 210
Second Line :
City : DALLAS
State : TX
Zip : 75204-3868
Country : US
Telephone Number : 214-906-5138
Fax Number :
Authorized Official
Title or Position : OWNER/CLINICAL DIRECTOR
Name : MRS. ERIN L WYSONG-WAREN
Credential : LPC-S
Telephone Number : 214-906-5138
Provider Enumeration Date : 04/12/2021
Last Update Date : 07/30/2024

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Directions to “WYSONG ENTERPRISES, PLLC ” Practice Location

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