Kelly M Wallace
Counselor, Mental Health in East Longmeadow, Massachusetts
1871225706- Practice location
- 41 Birchland Ave, East Longmeadow, MA 01028-2411
- Phone
- 141-388-7495
- Fax
- —
- Last updated
- June 29, 2022
Kelly M Wallace is a Counselor, Mental Health based in East Longmeadow, MA. Kelly M Wallace practices in East Longmeadow, MA. The NPI Number for Kelly M Wallace is 1871225706. The current practice location address for Kelly M Wallace is 41 Birchland Ave, East Longmeadow, MA 01028-2411 and can be reached out via phone at 141-388-7495.
Provider Profile Details
- NPI Number
- 1871225706
- Provider Name
- Kelly M Wallace
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 41 Birchland Ave, East Longmeadow, MA 01028-2411
- Phone Number
- 141-388-7495
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 29, 2022
- Last Update Date
- June 29, 2022
- Certification Date
- June 29, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 41 Birchland Ave
East Longmeadow, MA 01028-2411 - City
- East Longmeadow
- State
- Massachusetts
- Zip
- 01028-2411
- Phone Number
- 141-388-7495
Provider Business Mailing Address Details
- Address
- 41 Birchland Ave
East Longmeadow, MA 01028-2411 - City
- East Longmeadow
- State
- MA
- Zip
- 01028-2411
- Phone Number
- 141-388-7495
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Kelly M Wallace?
The NPI number of Kelly M Wallace is 1871225706. It was assigned on June 29, 2022 and is currently active in the NPPES registry.
What is the specialty of Kelly M Wallace?
Kelly M Wallace is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Kelly M Wallace practice?
The practice location is 41 Birchland Ave, East Longmeadow, MA 01028-2411. The office can be reached at 141-388-7495 (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 1871225706 directly on the NPPES registry website.