Keely Wagner, TLLP - Counselor in Northville, MI

Keely Wagner, TLLP is a Counselor - Mental Health based in Northville, Michigan. Keely Wagner is licensed to practice in Michigan (license number 6362009086) and her current practice location is 315 N Center St, Northville, Michigan. She can be reached at her office (for appointments etc.) via phone at (234) 759-7191.

NPI number for Keely Wagner is 1518564657 and her current mailing address is 2790 International Dr Apt 534c, Ypsilanti, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518564657.

Contact Information

Keely Wagner, TLLP
315 N Center St,
Northville, MI 48167-1277
(234) 759-7191
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKeely Wagner
GenderFemale
SpecialityCounselor - Mental Health
Location315 N Center St, Northville, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518564657
  • Provider Enumeration Date: 10/01/2020
  • Last Update Date: 10/01/2020

Medical Identifiers

Medical identifiers for Keely Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518564657NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 6362009086 (Michigan)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. Keely 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
Keely Wagner, TLLP
2790 International Dr Apt 534c,
Ypsilanti, MI 48197-8527

Ph: () -
Keely Wagner, TLLP
315 N Center St,
Northville, MI 48167-1277

Ph: (234) 759-7191

Reviews and Comments


Counselor in Northville, MI

Mrs. Lisa Marie Esparza-sadikot,
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Practice Location: 41740 6 Mile Rd Ste 103, Northville, MI 48168
Phone: 734-542-6969    Fax: 734-542-6967
Amber Cunnings,
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Medicare: Medicare Enrolled
Practice Location: 18600 Northville Rd Ste 500, Northville, MI 48168
Phone: 248-504-7406    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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