Provider Demographics
NPI:1972699692
Name:WOOTEN, HELEN DENISE (PSYD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:DENISE
Last Name:WOOTEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3861 LONG PRAIRIE RD
Mailing Address - Street 2:STE 101
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1799
Mailing Address - Country:US
Mailing Address - Phone:972-539-8353
Mailing Address - Fax:972-539-8353
Practice Address - Street 1:3861 LONG PRAIRIE RD
Practice Address - Street 2:STE 101
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1799
Practice Address - Country:US
Practice Address - Phone:972-539-8353
Practice Address - Fax:972-539-8353
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24437103TC0700X, 103TC2200X
103TM1800X, 103TB0200X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX096715002Medicaid