IMANI TACUMA WAGSTAFF NPI 1578070512

NPI Information

NPI: 1578070512
Provider Name: IMANI TACUMA WAGSTAFF
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1 MUSTARD ST
ROCHESTER, NY
ZIP 14609
Phone: (585) 256-7500
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Imani Tacuma Wagstaff is a counselor in Rochester, NY. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Imani Tacuma Wagstaff NPI is 1578070512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 MUSTARD ST
ROCHESTER, NY
ZIP 14609-980
Phone: (585) 256-7500

The enumeration date for this NPI number is 12/29/2017 and was last updated on 1/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				Yes
2	106H00000X	Marriage & Family Therapist				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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