Provider Demographics
NPI:1558053413
Name:VANWRIGHT, TYROLYN MARIE (LPC)
Entity Type:Individual
Prefix:MISS
First Name:TYROLYN
Middle Name:MARIE
Last Name:VANWRIGHT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19423 LAKE HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-4865
Mailing Address - Country:US
Mailing Address - Phone:832-689-5539
Mailing Address - Fax:
Practice Address - Street 1:19423 LAKE HOLLOW LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-4865
Practice Address - Country:US
Practice Address - Phone:832-689-5539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
TX86002101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional