# AILEEN WAINWRIGHT, LCSW INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Keller Heights Counseling & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609303791
- **Authorized official:** AILEEN DEVEREAUX LCSW (OWNER)
- **Authorized official phone:** (817) 522-6622

## Contact information

- **Practice address:** 605 SHADY LN N, KELLER, TX 76248-2645
- **Practice address phone:** (817) 522-6622
- **Practice address fax:** (817) 379-1933
- **Mailing address:** 605 SHADY LN N, KELLER, TX 76248-2645
- **Mailing address phone:** (817) 522-6622
- **Mailing address fax:** (817) 379-1933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 41287 | TX | Yes |

## Other

- **Enumeration date:** 05/19/2017
- **Last updated:** 02/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2879785-02 | — | TX |
| 05 | — | 2879785-03 | — | TX |
| 05 | — | 2879785-04 | — | TX |
| 05 | — | 400299001 | — | TX |