LEEANN WAGNER LLC (NPI# 1265970933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265970933 |
| Entity Type | Organization |
| Organization Name | LEEANN WAGNER LLC |
| Practice Address |
18 Kings Hwy Ste 202 Middletown NJ 07748-2509 |
| Mailing Address |
81 Leonard Ave Leonardo NJ 07737-1742 |
| Practice Telephone | 2015225108 |
| Mailing Telephone | 2015225108 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | LEEANN WAGNER (PRIVATE PRACTIONER) |
| Authorized Official Telephone | 2015225108 |
| Authorized Official Credential | LPC, LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
37PC00483700 | NJ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 210 W Front St, 206a, Red Bank, NJ 077011155 | 2015225108 |
| Street Address |
18 KINGS HWY STE 202 |
| City | MIDDLETOWN |
| State | NJ |
| Zip Code | 07748-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336375856 | Leeann Wagner | Counselor | 18 Kings Hwy Ste 202, Middletown, NJ 07748-2509 | 2009-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245872472 | Daniella Marie Siragusa | Pharmacist | 1200 Nj 35, Middletown, NJ 07748 | 2019-10-09 |
| 1548801194 | Victoria Coglianese | Dietitian, Registered | 146 Hillyer Circle, Middletown, Nj, Usa, Middletown, NJ 07748 | 2019-10-04 |
| 1396276184 | Crp Regal Pointe, LLC | Assisted Living Facility | 1800 Nj Highway 35 South, Middletown, NJ 07748 | 2017-03-23 |
| 1780131284 | Jocelyn Elizabeth Marrone | Pharmacist | 1447 State Highway 35, Middletown, NJ 07748 | 2016-09-01 |
| 1346796570 | Michelle Caravella | Dietitian, Registered | 113 Lynch Rd, Middletown, NJ 07748 | 2016-08-28 |
| 1922553528 | Jamie Manzo | Physical Therapist | 37 Kanes Ln, Middletown, NJ 07748 | 2016-08-24 |
| 1245697432 | Middletown Oral Surgery Associates, P.C. | Oral & Maxillofacial Surgery | 21 New Monmouth Road, Middletown, NJ 07748 | 2016-01-20 |
| 1295171379 | Taryn M Buffolino | Counselor | 41 Tall Tree Rd, Middletown, NJ 07748 | 2013-05-16 |
| 1477825925 | Min Jin Kim | Dentist | 2 Apple Farm Road, Middletown, NJ 07748 | 2012-01-30 |
| 1295018562 | Kavita Patel | Pharmacist | 271 Linden Avenue, North Middletown, NJ 07748 | 2011-09-23 |
| Find all providers in zip 07748 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086799 | Berry Family Psychotherapy, LLC | Counselor | 27 White Rd, Middletown, CT 06457-2321 | 2020-09-05 |
| 1114555851 | Demetrius Valentino Mckay | Counselor | 326 Acasta Dr, Middletown, DE 19709-9800 | 2020-03-30 |
| 1740813047 | Shayne Jervey Ahmad | Counselor | 292 Carter Dr Ste Aandb, Middletown, DE 19709-5846 | 2020-02-15 |
| 1801439427 | Edwin Dejesus | Counselor | 31 Peyton Pl, Middletown, CT 06457-2339 | 2019-10-27 |
| 1457817678 | Nicole Elizabeth Mchugh | Counselor | 360 Main St Ste 2d, Middletown, CT 06457-3375 | 2019-02-12 |
| 1801370978 | Nicole Fodaski | Counselor | 1428 Millbrook Rd, Middletown, CT 06457-5538 | 2018-09-24 |
| 1740789163 | Corinne Ruppert | Counselor | 215 Oberlin Rd, Middletown, PA 17057-1448 | 2018-02-12 |
| 1881102499 | Chelsea Dicicco Counseling Services LLC | Counselor | 360 Main St Ste 2b, Middletown, CT 06457-3375 | 2018-01-17 |
| 1164938593 | Chelsea Rose Dicicco | Counselor | 29 Fairlawn Ave, Middletown, CT 06457-5315 | 2017-12-21 |
| 1639685456 | Integrated Counseling Solutions, LLC | Counselor | 363 Main St Ste 512, Middletown, CT 06457-3359 | 2017-12-15 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 07748 |
Please comment or provide details below to improve the information on LEEANN WAGNER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.