Waggoner, Laurel

Waggoner, Laurel is an sole proprietor health care provider with primary practice located at 146 Whitaker Rd Ste A , Lutz FL 33549-5788. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Waggoner, Laurel can be contacted via phone (813) 909-4463.

Contact Information

Primary practice address
146 Whitaker Rd Ste A Lutz FL 33549-5788
Phone: (813) 909-4463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH10482 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2540 Florida

Profile Details

NPI number 1316212871
LBN Legal business name Waggoner, Laurel
Credentials M.S., LMHC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2012
Last updated Mar 2nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316212871 NPPES
Florida Other MH10482 MENTAL HEALTH COUNSELING

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