Provider Demographics
NPI:1427178292
Name:CAGLE, WAYNE MICHAEL (MED LPC)
Entity type:Individual
Prefix:
First Name:WAYNE
Middle Name:MICHAEL
Last Name:CAGLE
Suffix:
Gender:M
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 N JOSEY LN STE 250
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-5538
Mailing Address - Country:US
Mailing Address - Phone:972-466-2800
Mailing Address - Fax:972-466-2810
Practice Address - Street 1:2625 N JOSEY LN STE 250
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-5538
Practice Address - Country:US
Practice Address - Phone:972-466-2800
Practice Address - Fax:972-466-2810
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61131101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional