AMY DANIELLE WAGNER (NPI# 1639642937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639642937 |
| Entity Type | Individual |
| Full Name | AMY DANIELLE WAGNER |
| Credential | MFT |
| Practice Address |
523 Dixie St Ste 5 Carrollton GA 30117-3870 |
| Mailing Address |
346 Kramer St Carrollton GA 30117-3708 |
| Practice Telephone | 4703477980 |
| Mailing Telephone | 4047137313 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT001669 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649695628 | Amy L. Wagner | Behavioral Analyst | 1128 Beville Road, Suite A, Daytona Beach, FL 32114 | 2014-02-27 |
| 1538463997 | Amy Lyn Wagner | Occupational Therapist | 2820 E 53rd Ave, Apt # 48, Spokane, WA 99223-7962 | 2010-12-28 |
| 1710033097 | Amy E Wagner | Physical Therapist | 1428 S Marengo Ave, Alhambra, CA 91803-3001 | 2007-01-26 |
| 1568516698 | Amy Claire Wagner | Psychologist | 104 Central Park Ave, Wilmette, IL 60091-3202 | 2007-01-23 |
| 1174186217 | Amy Marie Wagner | Student in an Organized Health Care Education/Training Program | 6901 Bertner Ave, Houston, TX 77030-3901 | 2019-04-15 |
| 1639654437 | Amy Elizabeth Wagner | Speech-Language Pathologist | 631 Main Street, Richfield, PA 17086 | 2018-09-27 |
| 1568989697 | Amy S Wagner | Counselor | 3544 Edgewater Dr, Orlando, FL 32804-2922 | 2017-08-29 |
| 1942742804 | Amy Nicole Wagner | Nurse Practitioner | 150 N Robertson Blvd, Beverly Hills, CA 90211-2142 | 2016-11-09 |
| 1801340393 | Amy Wagner | Counselor | 2272 95th St, Unit 305, Naperville, IL 60564-8942 | 2016-08-12 |
| 1376997890 | Amy Wagner | Registered Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| Street Address |
523 DIXIE ST STE 5 |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217378 | Amy Wagner, LLC | Marriage & Family Therapist | 346 Kramer St, Carrollton, GA 30117-3708 | 2020-08-26 |
| 1518439801 | Melissa Davis Walker | Marriage & Family Therapist | 3620 N Josey Ln Ste 114, Carrollton, TX 75007-3151 | 2018-12-26 |
| 1104332634 | Rita Martin | Marriage & Family Therapist | 1100 Ryan Ave, Carrollton, TX 75006-3916 | 2017-12-20 |
| 1306192588 | Cynthia Ann Amante | Marriage & Family Therapist | 605 Newnan St, Carrollton, GA 30117-3428 | 2012-07-25 |
| 1043504582 | Mary Bittle | Marriage & Family Therapist | 3709 Wingate Dr, Carrollton, TX 75007-2824 | 2011-06-01 |
| 1134458649 | Jill Marie Hastings-storer | Marriage & Family Therapist | 104 Lake Point Dr, Carrollton, GA 30117-1930 | 2009-12-11 |
| 1245456078 | George Edward Winegeart | Marriage & Family Therapist | 2020 E Hebron Pkwy, Carrollton, TX 75007-1618 | 2007-04-18 |
| 1457477903 | Susan Bethea Ellis | Marriage & Family Therapist | 2810 Leisure Ln, Carrollton, TX 75006-4734 | 2007-03-22 |
| 1356849277 | Natalie Ha | Marriage & Family Therapist | 1902 Country Club Dr Ste 120, Carrollton, TX 75006-5824 | 2018-01-25 |
| 1689111874 | Susan Schwartz Swank M.ed. | Marriage & Family Therapist | 3000 Keller Springs Rd, Suite 102, Carrollton, TX 75006-4879 | 2017-01-25 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on AMY DANIELLE WAGNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.