LAURA BETH WAGAR LPC NPI 1376161224

NPI Information

  • NPI: 1376161224
  • Provider Name: LAURA BETH WAGAR, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 203 OAKSIDE LN STE F
    CANTON, GA
    ZIP 30114
  • Phone: (678) 213-2194

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NPI Details

Laura Beth Wagar, LPC is a professional counselor in Canton, GA with 14 years of experience. Laura Beth Wagar, LPC NPI is 1376161224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

203 OAKSIDE LN STE F
CANTON, GA
ZIP 30114-407
Phone: (678) 213-2194
Fax: (404) 806-1832

The NPI 1376161224 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/8/2020 and was last updated on 2/5/2025.

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
1101Y00000XCounselorLPC009134GEORGIANo
2101YP2500XCounselorProfessionalLPC009134GEORGIAYes

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: 11/21/2025

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