Provider Demographics
NPI:1972183119
Name:WYSONG ENTERPRISES, PLLC
Entity Type:Organization
Organization Name:WYSONG ENTERPRISES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:WYSONG-WAREN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:214-906-5138
Mailing Address - Street 1:7424 AZALEA LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-3640
Mailing Address - Country:US
Mailing Address - Phone:214-906-5138
Mailing Address - Fax:
Practice Address - Street 1:4144 N CENTRAL EXPY STE 380
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-3218
Practice Address - Country:US
Practice Address - Phone:214-906-5138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty