BRIAN WAGNER
NPI 1114333549
Counselor - Mental Health in Spartanburg, SC
Active since July 07, 2014
About Brian Wagner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN WAGNER (NPI 1114333549) is an individual mental health provider in Spartanburg, South Carolina and active in the NPI registry since July 2014.
NPPES Registry Identity
NPI1114333549
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRIAN WAGNER
Location Address250 DEWEY AVESpartanburg, SC 29303-3009
Mailing Address250 Dewey AveSpartanburg, SC 29303-3009 · (864) 585-0366
Phone(864) 585-0366
Sole ProprietorNo
Enumeration DateJuly 7, 2014
✔ NPI 1114333549 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
250 DEWEY AVE, Spartanburg, SC 29303
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Psychiatry)
250 DEWEY AVE
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
Psychiatry & Neurology (Psychiatry)
250 DEWEY AVE
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
Psychiatry & Neurology (Psychiatry)
250 DEWEY AVE
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114333549, enumerated as an "individual" on July 07, 2014.
The provider is located at 250 DEWEY AVE SPARTANBURG, SC 29303 and the phone number is (864) 585-0366.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.