Provider Demographics
NPI:1245126747
Name:DEMARISH N. WYLLIE DNW EDUCATION & TRAINING SOLUTIONS
Entity type:Organization
Organization Name:DEMARISH N. WYLLIE DNW EDUCATION & TRAINING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEMARISH
Authorized Official - Middle Name:
Authorized Official - Last Name:WYLLIE
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC, SAP, CART
Authorized Official - Phone:281-932-2833
Mailing Address - Street 1:4603 JAYMAR DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5228
Mailing Address - Country:US
Mailing Address - Phone:281-932-2833
Mailing Address - Fax:
Practice Address - Street 1:4603 JAYMAR DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-5228
Practice Address - Country:US
Practice Address - Phone:832-441-5124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health