NICOLE JANEEN WALLACE LCMHC NPI 1154820868

NPI Information

NPI: 1154820868
Provider Name: NICOLE JANEEN WALLACE, LCMHC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3041 BERKS WAY STE 102C
RALEIGH, NC
ZIP 27614
Phone: (919) 925-2274
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Nicole Janeen Wallace, LCMHC is a professional counselor in Raleigh, NC. Nicole Janeen Wallace, LCMHC NPI is 1154820868. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3041 BERKS WAY STE 102C
RALEIGH, NC
ZIP 27614-777
Phone: (919) 925-2274
Fax: (919) 820-8571

The enumeration date for this NPI number is 2/8/2018 and was last updated on 1/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	A13547	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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