TERESA LYNNE WYATT LCDC
NPI 1912934217
Counselor - Addiction (Substance Use Disorder) in Dallas, TX

Active since June 26, 2006
4054 MCKINNEY AVE STE 102, DALLAS, TX 75204(214) 520-6308 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Teresa Lynne Wyatt Lcdc NPPES

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

TERESA LYNNE WYATT LCDC (NPI 1912934217) is an individual addiction (substance use disorder) provider in Dallas, Texas, licensed in Texas (ILCDC 8755) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1912934217
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTERESA LYNNE WYATTCredential: LCDC
Location Address4054 MCKINNEY AVE STE 102Dallas, TX 75204-2050
Mailing Address4054 Mckinney Ave Ste 102Dallas, TX 75204-2050 · (214) 520-6308
Sole ProprietorYes
Enumeration DateJune 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1912934217 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 · ILCDC 8755
4054 MCKINNEY AVE STE 102, Dallas, TX 75204

Other Identifiers 1

Other8610BHBc/bs

Other Providers at the Same Location NPPES 13

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

Counselor (Mental Health)
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204
Social Worker (Clinical)
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204
Social Worker (Clinical)
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204
Counselor (Mental Health)
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204
Social Worker (Clinical)
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204
Counselor (Professional)
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204
Counselor (Professional)
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204
Social Worker (Clinical)
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204

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 Teresa Wyatt's NPI number?

The NPI number for Teresa Wyatt is 1912934217. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Teresa Wyatt located?

Teresa Wyatt practices at 4054 Mckinney Ave Ste 102, Dallas, TX 75204. The listed phone number is (214) 520-6308.

What is Teresa Wyatt'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 Teresa Wyatt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.