Organization
WYLIE COMMUNITY COUNSELING - PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN DAVID YOUNG LPC (OWNER)
(281) 705-7839
Entity
Organization
Contact information
Practice address
VIRTUAL ONLY AT THIS TIME, WYLIE, TX 75098
(469) 626-9600
Mailing address
PO BOX 1566, WYLIE, TX 75098-1566
(281) 705-7839
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780249441
NPPES
TX
Enumeration date
07/23/2021
Last updated
07/23/2021
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