CHERYL WAGONER LMHC PRIVATE PRACTICE NPI 1760151153

NPI Information

  • NPI: 1760151153
  • Provider Name: CHERYL WAGONER LMHC PRIVATE PRACTICE
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 6450 E MCGUIRE RD
    CHURUBUSCO, IN
    ZIP 46723
  • Phone: (260) 244-3427

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NPI Details

CHERYL WAGONER LMHC PRIVATE PRACTICE is a mental health counselor in Churubusco, IN. CHERYL WAGONER LMHC PRIVATE PRACTICE NPI is 1760151153. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6450 E MCGUIRE RD
CHURUBUSCO, IN
ZIP 46723-341
Phone: (260) 244-3427

The provider's authorized official is Cheryl Wagoner .
The authorized official title is Lmhc and has the following contact phone number (260) 244-3427.

The enumeration date for this NPI number is 9/9/2021 and was last updated on 9/9/2021.

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
1101YM0800XCounselorMental HealthYes

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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