GRANT J. WYLIE
NPI 1285038018
Counselor - Mental Health in Longview, WA

Q: What is Grant Wylie's NPI number?

The NPI number for Grant Wylie is 1285038018. It was assigned to this individual provider in the NPPES registry on October 22, 2014.

Q: What is Grant Wylie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Grant Wylie was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 22, 2014

1105 BROADWAY ST, LONGVIEW, WA 98632(360) 425-8679 Get Directions Write a Review

NPPES record last updated: October 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Grant J. Wylie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANT J. WYLIE (NPI 1285038018) is an individual mental health provider in Longview, Washington and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1285038018

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameGRANT J. WYLIE

Location Address1105 BROADWAY STLongview, WA 98632-3830

Mailing Address1105 Broadway StLongview, WA 98632-3830 · (360) 425-8679

Phone(360) 425-8679

Sole ProprietorYes

Enumeration DateOctober 22, 2014

✔ NPI 1285038018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1105 BROADWAY ST, Longview, WA 98632

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALEY DEWITZ BS, R-AAC

Counselor

1105 BROADWAY ST
LONGVIEW, WA 98632

Cowlitz County (360) 560-5962

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grant Wylie's NPI number?

The NPI number for Grant Wylie is 1285038018. It was assigned to this individual provider in the NPPES registry on October 22, 2014.

Where is Grant Wylie located?

Grant Wylie practices at 1105 Broadway St, Longview, WA 98632. The listed phone number is (360) 425-8679.

What is Grant Wylie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Grant Wylie was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.