Active NPIIndividual providerSole proprietor

Lisa Wallace

Counselor, Mental Health in Milton, Massachusetts

NPI Number1134575475
Practice location
14 Farmer RD, Milton, MA 02186-3743
Fax
—
Last updated
May 5, 2016

Lisa Wallace is a Counselor, Mental Health based in Milton, MA. Lisa Wallace practices in Milton, MA. The NPI Number for Lisa Wallace is 1134575475. The current practice location address for Lisa Wallace is 14 Farmer RD, Milton, MA 02186-3743 and can be reached out via phone at 617-615-5727.

Provider Profile Details

NPI Number
1134575475
Provider Name
Lisa Wallace
Provider Entity Type
Individual
Gender
Female
Address
14 Farmer RD, Milton, MA 02186-3743
Phone Number
617-615-5727
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
May 5, 2016
Last Update Date
May 5, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Farmer RD
Milton, MA 02186-3743
City
Milton
Zip
02186-3743
Phone Number
617-615-5727
Milton, MA 02186Get directions →

Provider Business Mailing Address Details

Address
14 Farmer RD
Milton, MA 02186-3743
City
Milton
State
MA
Zip
02186-3743
Phone Number
617-615-5727

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa Wallace?

The NPI number of Lisa Wallace is 1134575475. It was assigned on May 5, 2016 and is currently active in the NPPES registry.

What is the specialty of Lisa Wallace?

Lisa Wallace is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Lisa Wallace practice?

The practice location is 14 Farmer RD, Milton, MA 02186-3743. The office can be reached at 617-615-5727 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134575475 directly on the NPPES registry website.

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