Wagstaff Welness Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WAGSTAFF WELNESS CENTER

Practice address

1947 Aberglen Dr
Charlotte, NC 28262-4990

Phone

(704) 649-0414

NPI assigned

Aug 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Valarie Reed

Title

President/Ceo

Phone

(704) 649-0414

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249171200000",
    "number": "1962633446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 ABERGLEN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624990",
            "telephone_number": "704-649-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 ABERGLEN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624990",
            "telephone_number": "704-649-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGSTAFF WELNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-02",
        "last_updated": "2009-08-02",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "VALARIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "704-649-0414",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Wagner, LCSW, LISW-CP
• Theresa Renee Wagner, BCABA
• David Wagoner, M.D.
• Fallon Wagoner
• Kathleen Danehy Wagoner, NCC, LPCA
• Holly T Wahab, NP
• Carrie Sook-Yee Wai, M.A.
• Jennifer Dawn Waid, OTR/L
• Scott D Wait, MD
• Israa Nadeem Wajih

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.