Active NPIIndividual providerSole proprietor

Tiffany Wallace

Counselor, Mental Health in Bellingham, Massachusetts

NPI Number1891418828
Practice location
201 Village Ln, Bellingham, MA 02019-1136
Fax
—
Last updated
September 23, 2022

Tiffany Wallace is a Counselor, Mental Health based in Bellingham, MA. Tiffany Wallace practices in Bellingham, MA. The NPI Number for Tiffany Wallace is 1891418828 and holds a License No. S01895123 (MA). The current practice location address for Tiffany Wallace is 201 Village Ln, Bellingham, MA 02019-1136 and can be reached out via phone at 508-663-9758.

Provider Profile Details

NPI Number
1891418828
Provider Name
Tiffany Wallace
Provider Entity Type
Individual
Gender
Female
Address
201 Village Ln, Bellingham, MA 02019-1136
Phone Number
508-663-9758
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
September 23, 2022
Last Update Date
September 23, 2022
Certification Date
September 23, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Village Ln
Bellingham, MA 02019-1136
Zip
02019-1136
Phone Number
508-663-9758
Bellingham, MA 02019Get directions →

Provider Business Mailing Address Details

Address
201 Village Ln
Bellingham, MA 02019-1136
City
Bellingham
State
MA
Zip
02019-1136
Phone Number
508-663-9758

License Information

Taxonomy (1)
Social Worker · 104100000X
License Number (2)
S01895123
License State (2)
MA
Taxonomy (2)
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 Tiffany Wallace?

The NPI number of Tiffany Wallace is 1891418828. It was assigned on September 23, 2022 and is currently active in the NPPES registry.

What is the specialty of Tiffany Wallace?

Tiffany Wallace is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number S01895123.

Where does Tiffany Wallace practice?

The practice location is 201 Village Ln, Bellingham, MA 02019-1136. The office can be reached at 508-663-9758 (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 1891418828 directly on the NPPES registry website.

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