Provider Demographics
NPI:1487027330
Name:WYBLE, IRVING JR (MSW LPC LMFT)
Entity Type:Individual
Prefix:MR
First Name:IRVING
Middle Name:
Last Name:WYBLE
Suffix:JR
Gender:M
Credentials:MSW LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 RICHMOND AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3000
Mailing Address - Country:US
Mailing Address - Phone:713-528-5228
Mailing Address - Fax:
Practice Address - Street 1:3100 RICHMOND AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3000
Practice Address - Country:US
Practice Address - Phone:713-528-5228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-31
Last Update Date:2015-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1202104100000X
TX4321106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist