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KELLY DIANE WYLIE
NPI 1801673769
Counselor - Addiction (Substance Use Disorder) in Bandera, TX

Active since September 13, 2023
756 PURPLE SAGE RD, BANDERA, TX 78003(830) 225-1622 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Diane Wylie NPPES

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

KELLY DIANE WYLIE (NPI 1801673769) is an individual addiction (substance use disorder) provider in Bandera, Texas, licensed in Texas (64298) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1801673769
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY DIANE WYLIE
Location Address756 PURPLE SAGE RDBandera, TX 78003-3981
Mailing Address21300 State Highway 16 N Unit 214Medina, TX 78055-3819 · (830) 398-0414
Phone(830) 225-1622
Sole ProprietorNo
Enumeration DateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1801673769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in TX · 64298
756 PURPLE SAGE RD, Bandera, TX 78003
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Other Providers at the Same Location NPPES 20

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

VONNIE NEALON
Counselor (Addiction (Substance Use Disorder))
756 PURPLE SAGE RD
BANDERA, TX 78003
Bandera County (210) 872-3890
MS. ROBBIN DENISE LYNCH LCDC
Counselor (Addiction (Substance Use Disorder))
756 PURPLE SAGE RD
BANDERA, TX 78003
Bandera County (830) 225-1622
JULIE LLOYD-ATKINSON LCDC. AADC. CPS. CCJ
Counselor (Addiction (Substance Use Disorder))
756 PURPLE SAGE RD
BANDERA, TX 78003
Bandera County (844) 448-2567
MRS. KELLY ANN HARRIS LPC
Counselor (Mental Health)
756 PURPLE SAGE RD
BANDERA, TX 78003
Bandera County (830) 481-9944
COREY D WEBER LCDC
Counselor
756 PURPLE SAGE RD
BANDERA, TX 78003
Bandera County (309) 781-7519
JEREMY SCOTT SIMON MS, LCDC, LPC-I
Counselor (Addiction (Substance Use Disorder))
756 PURPLE SAGE RD
BANDERA, TX 78003
Bandera County (844) 448-2567
KENNETH L CONFER LCDC
Counselor (Addiction (Substance Use Disorder))
756 PURPLE SAGE RD
BANDERA, TX 78003
Bandera County (830) 522-3256
JEREMY HANNEGAN LMSW
Social Worker (Clinical)
756 PURPLE SAGE RD
BANDERA, TX 78003
Bandera County (571) 268-9228

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 Kelly Wylie's NPI number?

The NPI number for Kelly Wylie is 1801673769. It was assigned to this individual provider in the NPPES registry on September 13, 2023.

Where is Kelly Wylie located?

Kelly Wylie practices at 756 Purple Sage Rd, Bandera, TX 78003. The listed phone number is (830) 225-1622.

What is Kelly Wylie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Wylie was last updated on September 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.