Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Diane Wylie

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1801673769

Kelly Diane Wylie is an Addiction (Substance Use Disorder) Counselor in Bandera, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023

Practice location Address checks out

756 Purple Sage Rd
Bandera, TX 78003-3981
Phone: (830) 225-1622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 64298 (TX)

Record details

NPI number1801673769
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2023
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023

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