Kiara Nicole Wagoner in Indianapolis - Mental Health
Kiara Nicole Wagoner - NPI 1295926723
Kiara Nicole Wagoner is a Mental Health in Indianapolis, Indiana. Kiara Nicole Wagoner practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kiara Nicole Wagoner is 1295926723. The last update date is 2014-10-02.
Kiara Nicole Wagoner's current location address is 1500 North Ritter Avenue, Indianapolis, Indiana. You can contact this provider via phone number 3173552560 and fax number 3173552418. The mailing address for Kiara Nicole Wagoner is 1500 North Ritter Avenue, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kiara Nicole Wagoner |
|---|---|
| Address | 1500 North Ritter Avenue, Indianapolis, Indiana |
| Phone Number | 3173552560 |
| Fax Number | 3173552418 |
| Sole Proprietor | N |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1295926723 |
|---|---|
| Provider Enumeration Date | 2007-08-08 |
| Last Updated Date | 2014-10-02 |
Provider Mailing Address Detail
| Address | 1500 North Ritter Avenue |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462193027 |
| Phone Number | 3173552560 |
| Fax Number | 3173552418 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 39002180A |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100270530 | IN | -- |
Post Comment/ Review Below
What is the Kiara Nicole Wagoner's unique identification number?
The Kiara Nicole Wagoner has been assigned the NPI (National Provider Identifier) Number 1295926723 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Kiara Nicole Wagoner is geographically located?
The Kiara Nicole Wagoner is physically situated at the following location: 1500 North Ritter Avenue, Indianapolis, IN, 462193027.
What is Kiara Nicole Wagoner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kiara Nicole Wagoner is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295926723 to Kiara Nicole Wagoner?
The Kiara Nicole Wagoner received its 1295926723 assignment from the Centers for Medicare & Medicaid Services on 2007-08-08.
As of what date were the Kiara Nicole Wagoner's details last updated?
The information pertaining to the Kiara Nicole Wagoner, including its address, specialty, and other details, was most recently updated on 2014-10-02.