MRS. MELISSA E. WALLACE P.C.C. NPI 1790947992

NPI Information

NPI: 1790947992
Provider Name: MRS. MELISSA E. WALLACE, P.C.C.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
25101 CHAGRIN BOULEVARD
SUITE 100
BEACHWOOD, OH
ZIP 44122
Phone: (216) 831-6611
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MRS. Melissa E. Wallace, P.C.C. is a mental health counselor in Beachwood, OH. MRS. Melissa E. Wallace, P.C.C. NPI is 1790947992. 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:

25101 CHAGRIN BOULEVARD
SUITE 100
BEACHWOOD, OH
ZIP 44122-052
Phone: (216) 831-6611
Fax: (216) 456-8128

The enumeration date for this NPI number is 6/28/2008 and was last updated on 2/21/2014.

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			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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