WAGONER'S PSYCHOLOGICAL SERVICES LLC NPI 1669250296

NPI Information

  • NPI: 1669250296
  • Provider Name: WAGONER'S PSYCHOLOGICAL SERVICES, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 2675 MEDWAY NEW CARLISLE RD
    MEDWAY, OH
    ZIP 45341
  • Phone: (937) 856-7066

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NPI Details

WAGONER'S PSYCHOLOGICAL SERVICES, LLC is a mental health (including community mental health center) clinic center in Medway, OH. WAGONER'S PSYCHOLOGICAL SERVICES, LLC NPI is 1669250296. The provider is registered as an organization entity type.

The provider's business location address is:

2675 MEDWAY NEW CARLISLE RD
MEDWAY, OH
ZIP 45341-744
Phone: (937) 856-7066

The provider's authorized official is Alicia Wagoner .
The authorized official title is Owner and has the following contact phone number (937) 546-1083.

The enumeration date for this NPI number is 9/15/2023 and was last updated on 9/15/2023.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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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