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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY DIANE WYLIE LCDC
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: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kelly Diane Wylie Lcdc NPPES

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

KELLY DIANE WYLIE LCDC (NPI 1801673769) is an individual addiction (substance use disorder) provider in Bandera, Texas, licensed in Texas (17461) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1801673769
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY DIANE WYLIECredential: LCDC
Location Address756 PURPLE SAGE RDBandera, TX 78003-3981
Mailing AddressPo Box 69Medina, TX 78055-0069 · (830) 398-0414
Phone(830) 225-1622
Sole ProprietorNo
Enumeration DateSeptember 13, 2023
Last NPPES UpdateAugust 25, 2026
NPPES CertifiedAugust 25, 2026
✔ 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 · 17461
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.

MRS. CYNTHIA ANN BENNETT LCDC-I
Counselor (Addiction (Substance Use Disorder))
756 PURPLE SAGE RD
BANDERA, TX 78003
Bandera County (866) 516-9540
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
CHRISTINA GALINDO LPC
Counselor (Professional)
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
ANDY BREITBARTH
Counselor (Addiction (Substance Use Disorder))
756 PURPLE SAGE RD
BANDERA, TX 78003
Bandera County (830) 313-9232
LESLIE CITLALIC RAMIREZ LPC-A
Counselor (Professional)
756 PURPLE SAGE RD
BANDERA, TX 78003
Bandera County (844) 736-7577
JULIE LLOYD-ATKINSON LCDC. AADC. CPS. CCJ
Counselor (Addiction (Substance Use Disorder))
756 PURPLE SAGE RD
BANDERA, TX 78003
Bandera County (844) 448-2567

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 August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.