Provider Demographics
NPI:1154411551
Name:WURM, YVETTE ELIZABETH (MS, LPC, LCDC, CRC)
Entity type:Individual
Prefix:MISS
First Name:YVETTE
Middle Name:ELIZABETH
Last Name:WURM
Suffix:
Gender:F
Credentials:MS, LPC, LCDC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 ROCKY POINT DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-2101
Mailing Address - Country:US
Mailing Address - Phone:469-774-1305
Mailing Address - Fax:
Practice Address - Street 1:3740 N JOSEY LN
Practice Address - Street 2:114
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-2474
Practice Address - Country:US
Practice Address - Phone:469-774-1305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX56123101Y00000X
TX9778101YA0400X
TX19646101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional