EMILY WAGNER (NPI# 1750759213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750759213 |
| Entity Type | Individual |
| Full Name | EMILY WAGNER |
| Other Name | EMIY KENNEDY |
| Credential | LMFT |
| Practice Address |
14947 Santa Lucia Dr Charlotte NC 28277-3382 |
| Practice Telephone | 6025092747 |
| Mailing Telephone | 6025092747 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MF000923 | PA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 721 Dresher Rd, Building 1 Suite 1200, Horsham, PA 190442220 | 6023357236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095830 | Emily Freilich Wagner | Dietitian, Registered | 5229 Annunciation St, New Orleans, LA 70115-1815 | 2017-07-10 |
| 1821333485 | Emily Marie Wagner | Speech-Language Pathologist | 3823 N Southport Ave, #2, Chicago, IL 60613-5933 | 2012-12-06 |
| 1881843761 | Emily Fennell Wagner | Physical Therapist | 11301 Amherst Ave Ste 102, Silver Spring, MD 20902-4665 | 2008-09-16 |
| 1881206480 | Emily Marie Wagner | Pharmacist | 8681 W 135th St, Overland Park, KS 66223-1215 | 2020-08-17 |
| 1245875582 | Emily Wagner | Behavior Technician | 16970 Chandler Rd, East Lansing, MI 48823-6101 | 2019-11-11 |
| 1891255469 | Emily Wagner | Behavior Technician | 18685 Main St Ste 101-459, Huntington Beach, CA 92648-1723 | 2019-03-20 |
| 1811471709 | Emily E Wagner | Nurse Practitioner | 2626 Haymaker Rd Fl 2, Monroeville, PA 15146-3516 | 2018-09-18 |
| 1194206243 | Emily Grace Wagner | Developmental Therapist | 1579 S Folsomville Rd, Boonville, IN 47601-9465 | 2018-08-27 |
| 1063901213 | Emily Wagner | Student in an Organized Health Care Education/Training Program | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2018-05-03 |
| 1700326162 | Emily Wagner | Social Worker | 2737 Youngstown Warren Rd Se, Warren, OH 44483 | 2017-03-06 |
| Street Address |
14947 SANTA LUCIA DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-3382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| 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 |
|---|---|---|---|---|
| 1346841491 | Emily Brokaw | Marriage & Family Therapist | 10420 Park Rd # 100-b, Charlotte, NC 28210-8501 | 2020-11-05 |
| 1215550074 | Tiffany Guy | Marriage & Family Therapist | 4219 Springhaven Dr, Charlotte, NC 28269-1629 | 2020-05-27 |
| 1013557867 | Sandra May Kamara | Marriage & Family Therapist | 6601 Barrington Dr, Charlotte, NC 28215-3401 | 2020-01-09 |
| 1053958868 | Karen M Quigley | Marriage & Family Therapist | 6000 Fairview Rd Fl 12, Charlotte, NC 28210-2224 | 2019-11-30 |
| 1386288421 | Tiffany De Leon | Marriage & Family Therapist | 13735 Steele Creek Rd, Charlotte, NC 28273-6841 | 2019-11-01 |
| 1841833761 | Sweeneypsych, Pllc | Marriage & Family Therapist | 811 Central Ave Ste 8, Charlotte, NC 28204-2015 | 2019-10-23 |
| 1144871476 | Linda Joann Mullinix | Marriage & Family Therapist | 3835 W W T Harris Blvd, Charlotte, NC 28269-3500 | 2019-09-27 |
| 1497316012 | Shantel Lynette Smythe | Marriage & Family Therapist | 5700 Executive Center Dr Ste 200, Charlotte, NC 28212-8833 | 2019-06-25 |
| 1073174975 | Monica Pena | Marriage & Family Therapist | 3837 Beauvista Dr, Charlotte, NC 28269-1090 | 2019-06-22 |
| 1669944427 | Monique Moreno Aquino | Marriage & Family Therapist | 1118 Skyview Rd, Charlotte, NC 28208-6249 | 2018-12-18 |
| Find all providers in CHARLOTTE | ||||
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| 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.