Wagner, Adriana

Wagner, Adriana is an individual health care provider with primary practice located at 4422 E Columbus Dr , Tampa FL 33605. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wagner, Adriana can be contacted via phone (813) 413-1062.

Contact Information

Primary practice address
4422 E Columbus Dr Tampa FL 33605
Phone: (813) 413-1062
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH10983 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAP 4364 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH10983 Florida

Profile Details

NPI number 1144535808
LBN Legal business name Wagner, Adriana
Credentials LMHC, CAP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2010
Last updated Jul 10th, 2014 - about 12 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 1144535808 NPPES
Florida MEDICAID 101YM0800X

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