Provider Demographics
NPI:1790084036
Name:OLMSTEAD, WENDY L (LPC)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:L
Last Name:OLMSTEAD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:WENDY
Other - Middle Name:L
Other - Last Name:YOCUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4910 AIRPORT AVE STE D
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-5759
Mailing Address - Country:US
Mailing Address - Phone:979-532-6118
Mailing Address - Fax:979-532-0312
Practice Address - Street 1:4910 AIRPORT AVE STE D
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-5759
Practice Address - Country:US
Practice Address - Phone:979-532-6118
Practice Address - Fax:979-532-0312
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65382101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional