Lisa Wagner is a Adult Mental Health in Houston, Texas. Lisa Wagner practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Lisa Wagner is 1649384991. The last update date is 2008-06-23.
Lisa Wagner's current location address is 7619 Portal Dr, Houston, Texas. You can contact this provider via phone number 8325633237 and fax number 7139959348. The mailing address for Lisa Wagner is 7619 Portal Dr, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Lisa Wagner |
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Address | 7619 Portal Dr, Houston, Texas |
Phone Number | 8325633237 |
Fax Number | 7139959348 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SOCIAL WOR |
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Authorized Official Name | Wagner D Lisa |
Credentials | LMSW |
Telephone Number | 8325633237 |
NPI Number Detail
NPI Number | 1649384991 |
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Provider Enumeration Date | 2006-08-17 |
Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
Address | 7619 Portal Dr |
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City | Houston |
State | Texas (TX) |
Post Code | 770711828 |
Phone Number | 8325633237 |
Fax Number | 7139959348 |
Provider's Primary Taxonomy Detail
Speciality | Adult Mental Health |
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Taxonomy | 261Qm0850X |
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
180057501 | TX | -- | |
180057502 | TX | -- | |
9909 | TX | SOCIAL WORK LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lisa Wagner by the Centers for Medicare & Medicaid Services?
The Lisa Wagner has been assigned the NPI (National Provider Identifier) 1649384991 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lisa Wagner?
The Lisa Wagner is physically situated at 7619 Portal Dr, in the city of Houston, state of TX, with the postal code 770711828.
What is Lisa Wagner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa Wagner's specialized field of practice is Adult Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm0850X.
When was the Lisa Wagner's 1649384991 issued?
The Lisa Wagner's 1649384991 was issued on 2006-08-17.
When was the information regarding Lisa Wagner most recently updated?
The details pertaining to the Lisa Wagner, including its address, specialty, and other relevant information, were last refreshed on 2008-06-23.