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DR. LARRY D WAGONER PH.D., LMFT
NPI 1417046699
Marriage & Family Therapist in Jacksonville, FL

Active since October 12, 2006
7545 CENTURION PKWY, SUITE # 105, JACKSONVILLE, FL 32256(904) 642-2468(904) 642-2469 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Larry D Wagoner Ph.d., Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY D WAGONER PH.D., LMFT (NPI 1417046699) is an individual marriage & family therapist in Jacksonville, Florida, licensed in Florida (MT1162) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1417046699
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDR. LARRY D WAGONERCredential: PH.D., LMFT
Location Address7545 CENTURION PKWY, SUITE # 105Jacksonville, FL 32256-0579
Mailing Address2058 Beach AveAtlantic Beach, FL 32233-5935 · (904) 372-7365 · Fax (904) 372-7365
Phone(904) 642-2468
Fax(904) 642-2469
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateJanuary 29, 2013
✔ NPI 1417046699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in FL · MT1162
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
7545 CENTURION PKWY, Jacksonville, FL 32256
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RESTORATION COUNSELING
Marriage & Family Therapist
7545 CENTURION PKWY, SUITE 105
JACKSONVILLE, FL 32256
Duval County (904) 412-2876
JESSICA KRISTINE ADAMS LMT
Massage Therapist
7545 CENTURION PKWY, SUITE 304
JACKSONVILLE, FL 32256
Duval County (904) 645-8850
SANDERS CHIROPRACTIC, INC.
Chiropractor
7545 CENTURION PKWY, SUITE 205
JACKSONVILLE, FL 32256
Duval County (904) 744-4100
MRS. SONYA N SAMUELS L.M.T.
Massage Therapist
7545 CENTURION PKWY, SUITE 304
JACKSONVILLE, FL 32256
Duval County (904) 645-8850
DR. KIM M SANDERS D.C.
Chiropractor
7545 CENTURION PKWY, SUITE 205
JACKSONVILLE, FL 32256
Duval County (904) 744-4100
MR. TODD LOGAN RANKIN LMT
Massage Therapist
7545 CENTURION PKWY, SUITE 304
JACKSONVILLE, FL 32256
Duval County (904) 645-8850
ELENA SALADINO M.ED.
Counselor (Mental Health)
7545 CENTURION PKWY, SUITE 105
JACKSONVILLE, FL 32256
Duval County (904) 327-3228
SUSAN J GILLESPY LMFT
Marriage & Family Therapist
7545 CENTURION PKWY, # 105
JACKSONVILLE, FL 32256
Duval County (904) 403-8067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Wagoner's NPI number?

The NPI number for Larry Wagoner is 1417046699. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Larry Wagoner located?

Larry Wagoner practices at 7545 Centurion Pkwy Suite # 105, Jacksonville, FL 32256. The listed phone number is (904) 642-2468.

What is Larry Wagoner's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Larry Wagoner was last updated on January 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.