D. B. Tug Wagstaff, Lpc

LBN: D. B. Tug Wagstaff, Lpc
D. B. Tug Wagstaff, Lpc is an health care organization with primary practice located at 1021 E 70 N , American Fork UT 84003-2914. The organization recently has 2 registered licenses in different health care specialties including Hospital Units / Psychiatric Unit, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. D. B. Tug Wagstaff, Lpc can be contacted via phone (801) 376-4787, or through Wagstaff, Doug 'Tug' B. via phone (801) 376-4787.

Contact Information

Primary practice address
1021 E 70 N American Fork UT 84003-2914
Phone: (801) 376-4787
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wagstaff, Doug 'Tug' B. M.ED., LPC
Phone: (801) 376-4787

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 321749-6004 Utah
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 321749-6004 Utah

Profile Details

NPI number 1053638031
LBN Legal business name D. B. Tug Wagstaff, Lpc
DBA Doing business as
Authorized official Wagstaff, Doug 'Tug' B. M.ED., LPC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2010
Last updated Dec 12th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053638031 NPPES
Utah Other 321749-6004 PROFESSIONAL COUNSELOR LICENSE ISSUED BY STATE OF UTAH DEPT. OF COMMERCE

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