SHANTHALITTA SEALS WALLACE LMHC NPI 1659848539

NPI Information

NPI: 1659848539
Provider Name: SHANTHALITTA SEALS WALLACE, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
9617 WATERSHED DR E
JACKSONVILLE, FL
ZIP 32220
Phone: (860) 496-0909
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Shanthalitta Seals Wallace, LMHC is a mental health counselor in Jacksonville, FL. Shanthalitta Seals Wallace, LMHC NPI is 1659848539. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9617 WATERSHED DR E
JACKSONVILLE, FL
ZIP 32220-906
Phone: (860) 496-0909

The enumeration date for this NPI number is 10/29/2018 and was last updated on 10/29/2018.

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	101YM0800X	Counselor	Mental Health	MH15387	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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