MR. BARRY RAY WALLACE NPI 1841858875

NPI Information

NPI: 1841858875
Provider Name: MR. BARRY RAY WALLACE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
2101 GARNER RD #107
RALEIGH, NC
ZIP 27610
Phone: (919) 787-6131
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MR. Barry Ray Wallace is a mental health counselor in Raleigh, NC with 5 years of experience. MR. Barry Ray Wallace NPI is 1841858875. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2101 GARNER RD #107
RALEIGH, NC
ZIP 27610-790
Phone: (919) 787-6131

The NPI 1841858875 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/4/2019 and was last updated on 8/27/2019.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	25403	NORTH CAROLINA	No
2	101YM0800X	Counselor	Mental Health	A15095	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

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