MEDICARE: MR. RICHARD ELLIOTT WAGNER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1366612418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD ELLIOTT WAGNER LPC

Provider Business Mailing Address
First Line	:	20395 FARM ROAD 79
Second Line	:
City	:	SUMNER
State	:	TX
Zip	:	75486-3652
Country	:	US
Telephone Number	:	214-538-3200
Fax Number	:	214-265-1916

Provider Business Practice Location Address
First Line	:	5470 GLEN LAKES DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4320
Country	:	US
Telephone Number	:	214-538-3200
Fax Number	:	214-265-1916

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2008
Last Update Date	:	08/12/2010

Similar Medicare Providers

1801066261 — BEHAVIORAL HEALTH LINK CORPORATION
Practice Location Address:

5470 GLEN LAKES DR , SUITE 400
DALLAS, TX
75231-4320

Practice Phone: 214-361-9336
Practice Fax:

1891759676 — JAMES GARY SCHROEDER MD
Practice Location Address:

4320 WESTWAY AVE
DALLAS, TX
75205-3728

Practice Phone: 214-693-8134
Practice Fax:

1194935007 — MS. LINDA R. HONKER M.ED.
Practice Location Address:

7712 LA COSA DR
DALLAS, TX
75248-4320

Practice Phone: 972-991-9559
Practice Fax: 972-490-6856

1770731879 — DR. DENNIS RONALD SZESZKO M.D.
Practice Location Address:

13907 MONTFORT DR. , UNIT # 433
DALLAS, TX
75240-4320

Practice Phone: 972-788-4008
Practice Fax:

1417211194 — MR. ARMAND GARCIA HOWARD LPC
Practice Location Address:

1200 MAIN ST , #507
DALLAS, TX
75202-4320

Practice Phone: 214-587-9030
Practice Fax:

1174131049 — SPECIALTY IMAGING CONSULTANTS LLC
Practice Location Address:

4320 WESTWAY AVE
DALLAS, TX
75205-3728

Practice Phone: 214-693-8134
Practice Fax:

Directions to “ MR. RICHARD ELLIOTT WAGNER LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.