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Lisa Donette Wagner, LMSW
Adult Mental Health Clinic/Center in Houston, Texas
NPI 1467613323

Lisa Donette Wagner is an Adult Mental Health Clinic/Center based in Houston, TX and is specialized in Adult Mental Health. Lisa Donette Wagner practices in Houston, TX and has the professional credentials of LMSW. The NPI Number for Lisa Donette Wagner is 1467613323 and holds a License No. (Texas).

The current practice location address for Lisa Donette Wagner is 5420 Dashwood Dr, Houston, TX and can be reached out via phone at 713-839-9898 and via fax at 713-839-9494. You can also correspond with Lisa Donette Wagner through the mailing address at 7619 PORTAL DR, HOUSTON, TX - 77071-1828 (mailing address contact number: 713-995-9347).

Location: 5420 Dashwood Dr, Houston, TX, 77071-1828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467613323
Provider Name
Lisa Donette Wagner
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
5420 Dashwood Dr, Houston, TX, 77071-1828
Phone Number
713-839-9898
Fax Number
713-839-9494
Provider Enumeration Date
06/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09909 01 TX SOCIAL WORK LICENSE
180057502 05 TX
180057501 05 TX
1649384991 01 TX NPI
institution
Provider Business Practice Location Address Details
Address
5420 Dashwood Dr
City
Houston
State
Texas
Zip
77081-5357
Phone Number
713-839-9898
Fax Number
713-839-9494
person
Provider Business Mailing Address Details
Address
7619 Portal Dr
City
Houston
State
Texas
Zip
77071-1828
Phone Number
713-995-9347
Fax Number
713-995-9347
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
()
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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