Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn Wagner

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1164047072

Carolyn Wagner is a Mental Health Clinic/Center (Including Community Mental Health Center) in Wilmette, Illinois. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1159 Wilmette Ave Ste 225
Wilmette, IL 60091-2653
Phone: (847) 728-8148
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Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1164047072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Wagner — Psychotherapist · (847) 728-8148
NPI enumeratedJune 16, 2020
Last updated in NPPESJune 16, 2020
Certification dateJune 16, 2020
Mailing address1159 Wilmette Ave Ste 225, Wilmette, IL 60091-2653

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