Active NPIIndividual provider

Ms. Tara G Wallace, LMHC

Counselor, Mental Health in Smithfield, Rhode Island

NPI Number1164295598
Practice location
900 Douglas Pike Ste 220, Smithfield, RI 02917-1879
Fax
401-941-7847
Last updated
June 19, 2025

Tara Grace Wallace is a Counselor, Mental Health based in Smithfield, RI. Tara Grace Wallace practices in Smithfield, RI and has the professional credentials of LMHC. The NPI Number for Tara Grace Wallace is 1164295598 and holds a License No. MHC01803 (RI). The current practice location address for Tara Grace Wallace is 900 Douglas Pike Ste 220, Smithfield, RI 02917-1879 and can be reached out via phone at 401-452-0123 and via fax at 401-941-7847.

Provider Profile Details

NPI Number
1164295598
Provider Name
Tara Grace Wallace
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
900 Douglas Pike Ste 220, Smithfield, RI 02917-1879
Phone Number
401-452-0123
Fax Number
401-941-7847
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
November 7, 2023
Last Update Date
June 19, 2025
Certification Date
June 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 Douglas Pike Ste 220
Smithfield, RI 02917-1879
Zip
02917-1879
Phone Number
401-452-0123
Fax Number
401-941-7847
Smithfield, RI 02917Get directions →

Provider Business Mailing Address Details

Address
28 Birchtree Dr
Johnston, RI 02919-3545
City
Johnston
State
RI
Zip
02919-3545
Phone Number
401-919-7233

License Information

License Number
MHC01803
License State
RI
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 Ms. Tara G Wallace, LMHC?

The NPI number of Ms. Tara G Wallace, LMHC is 1164295598. It was assigned on November 7, 2023 and is currently active in the NPPES registry.

What is the specialty of Ms. Tara G Wallace, LMHC?

Ms. Tara G Wallace, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in RI under license number MHC01803.

Where does Ms. Tara G Wallace, LMHC practice?

The practice location is 900 Douglas Pike Ste 220, Smithfield, RI 02917-1879. The office can be reached at 401-452-0123 (phone) or 401-941-7847 (fax).

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 1164295598 directly on the NPPES registry website.

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