Provider Demographics
NPI:1215656335
Name:WYLIE, ERIN MARGARET (MA, LPC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MARGARET
Last Name:WYLIE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 THOMPSON RD STE 102
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5415
Mailing Address - Country:US
Mailing Address - Phone:346-205-5235
Mailing Address - Fax:
Practice Address - Street 1:2116 THOMPSON RD STE 102
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5415
Practice Address - Country:US
Practice Address - Phone:346-205-5235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88655101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional