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

Madison Wilson

Individual provider Mental Health Counselor · NPI 1356119184

Madison Wilson is a Mental Health Counselor in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023

Practice location Address checks out

16911 Old Bullard Rd
Tyler, TX 75703
Phone: (903) 871-3450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 92816 (TX)

Record details

NPI number1356119184
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 12, 2023
Last updated in NPPESDecember 12, 2023
Certification dateDecember 8, 2023
Mailing address5872 Old Jacksonville Hwy Apt 311, Tyler, TX 75703-0605

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