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WAGENER THERAPY PLC
NPI 1750048898
Counselor - Mental Health in Davenport, IA

Active since November 23, 2021
6119 DEERE CREEK LN, DAVENPORT, IA 52807(224) 216-4209 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2023, Nov 23, 2021 (2 updates tracked since 2021).

About Wagener Therapy Plc NPPES

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

WAGENER THERAPY PLC (NPI 1750048898) is a healthcare organization registered as a mental health in Davenport, Iowa and active in the NPI registry since November 2021. The organization maintains a secondary practice location in Davenport and lists Brandal J Wagener, Owner, as its authorized official.

NPPES Registry Identity

NPI1750048898
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWAGENER THERAPY PLC
Location Address6119 DEERE CREEK LNDavenport, IA 52807-3402
Mailing Address4620 E 53rd StDavenport, IA 52807-3620 · (224) 216-4209
Phone(224) 216-4209
Organization SubpartNo
Authorized OfficialBrandal J WagenerOwner · (224) 216-4209
Enumeration DateNovember 23, 2021
Last NPPES UpdateMay 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
✔ NPI 1750048898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6119 DEERE CREEK LN, Davenport, IA 52807
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Secondary Practice Location 1

Location 14620 E 53rd StDavenport, IA 52807-3620 · Phone (224) 216-4209

Other Identifiers 1

Other1760038475IA · Wellmark

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Wagener Therapy Plc's NPI number?

The NPI number for Wagener Therapy Plc is 1750048898. It was assigned to this organization in the NPPES registry on November 23, 2021.

Where is Wagener Therapy Plc located?

Wagener Therapy Plc is located at 6119 Deere Creek Ln, Davenport, IA 52807. The listed phone number is (224) 216-4209.

What is Wagener Therapy Plc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Wagener Therapy Plc was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.