Organization
OLIVIA WEDEL COUNSELING & CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLIVIA WEDEL PHD, LPC, NCC, LCDC (OWNER/CLINICAL DIRECTOR)
(817) 721-9570
Entity
Organization
Contact information
Practice address
409 W WALL ST, GRAPEVINE, TX 76051-5203
(817) 264-6604
Mailing address
603 BAYLESS DR, EULESS, TX 76040-5101
(817) 721-9570
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356758718
—
TX
Enumeration date
08/13/2021
Last updated
08/13/2021
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