| NPI | 1275939001 |
|---|---|
| Doing Business As | BRITTAINY A. WAGNER, LPC |
| Entity Type | Organization |
| Authorized Contact | BRITTAINY A WAGNER Owner Provider 903-267-4023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2024-09-17 |