Individual provider · Type 1 NPI

Eliza Wagley, LPC-A

Mental Health Counselor · Dallas, TX

NPI number 1922837020 Active

Practice location

12800 Hillcrest Rd # D112
Dallas, TX 75230-1524

Call (214) 755-6119 Map

Mailing address

12800 Hillcrest Rd # A124
Dallas, TX 75230-1524

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X91846 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1922837020

Eliza Wagley, LPC-A's National Provider Identifier is 1922837020, issued on Jul 29, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Jul 29, 2024.