08Wisdom Professional Counseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

64675 Issued in TX

Legal business name

08WISDOM PROFESSIONAL COUNSELING, PLLC

Practice address

6309 Preston Road
Suite 1200
Plano, TX 75024-2741

Phone

(214) 212-3008

Fax

(972) 526-7903

NPI assigned

Jan 10, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dean Edward Wisdom, LPC

Title

President

Phone

(214) 212-3008

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1164844197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 PRESTON ROAD",
            "address_2": "SUITE 1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242741",
            "telephone_number": "214-212-3008",
            "fax_number": "972-526-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 PRESTON ROAD",
            "address_2": "SUITE 1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242741",
            "telephone_number": "214-212-3008",
            "fax_number": "972-526-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "08WISDOM PROFESSIONAL COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "WISDOM",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-212-3008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Plano, TX
• Providers in Plano, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.