Individual provider · Type 1 NPI

Ty Shawn Wilson

Mental Health Counselor · Cedar Park, TX

NPI number 1003797507 Active

Practice location

1210 Cottonwood Creek Trl Ste 300
Cedar Park, TX 78613-2688

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003797507

Ty Shawn Wilson's National Provider Identifier is 1003797507, issued on Sep 10, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cedar Park, TX. The record was last updated on Sep 10, 2025.