Ms Laura Lee Wagner, MS, LMHC, LCAC - Counselor in West Lafayette, IN

Ms Laura Lee Wagner, MS, LMHC, LCAC is a Counselor - Professional based in West Lafayette, Indiana. Ms Laura Lee Wagner is licensed to practice in Indiana (license number 39002286A) and her current practice location is 601 Stadium Mall Dr, West Lafayette, Indiana. She can be reached at her office (for appointments etc.) via phone at (765) 494-6995.

NPI number for Ms Laura Lee Wagner is 1720586936 and her current mailing address is 418 N Abigail St, Rensselaer, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720586936.

Contact Information

Ms Laura Lee Wagner, MS, LMHC, LCAC
601 Stadium Mall Dr,
West Lafayette, IN 47907-2052
(765) 494-6995
(765) 496-2139

Map and Direction


Healthcare Provider's Profile

Full NameMs Laura Lee Wagner
GenderFemale
SpecialityCounselor - Professional
Location601 Stadium Mall Dr, West Lafayette, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720586936
  • Provider Enumeration Date: 01/23/2018
  • Last Update Date: 01/23/2018

Medical Identifiers

Medical identifiers for Ms Laura Lee Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720586936NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 87000662A (Indiana)Secondary
101YP2500XCounselor - Professional 39002286A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Laura Lee Wagner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Laura Lee Wagner, MS, LMHC, LCAC
418 N Abigail St,
Rensselaer, IN 47978-2402

Ph: (219) 866-0006
Ms Laura Lee Wagner, MS, LMHC, LCAC
601 Stadium Mall Dr,
West Lafayette, IN 47907-2052

Ph: (765) 494-6995

Reviews and Comments


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