ALICIA D WALLACE


Address: 105 Kathryn Dr. Bldg. 3, Ste. D, Lewisville, TX 75067
Phone: 8009720643

ALICIA D WALLACE (NPI# 1255821286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255821286
Entity Type Individual
Full Name ALICIA D WALLACE
Credential LPC
Practice Address 105 Kathryn Dr. Bldg. 3, Ste. D
Lewisville
TX 75067
Mailing Address 4251 Fm 2181 Ste 230-517
Corinth
TX 76210-4219
Practice Telephone 8009720643
Practice Fax Number 2142795032
Mailing Telephone 8009720643
Mailing Fax Number 2142795032
Enumeration Date 2018-05-15
Last Update Date 2018-05-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
74421 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS 74421 01

Other Providers ALICIA WALLACE

NPI Name Taxonomy Address Enumeration
1841690625 Alicia Wallace Behavioral Analyst 8005b Toro Creek Rd, Atascadero, CA 93422-1028 2014-08-28
1720370570 Alicia Angela Wallace Counselor 3718 Milford Mill Rd, Windsor Mill, MD 21244-3718 2011-05-12
1265751457 Alicia Wallace Speech-Language Pathologist 7 Pondview, Saint James, NY 11780-3164 2010-05-27
1568601664 Alicia Wallace Day Training/Habilitation Specialist 1005 Balcom Ln, Trumann, AR 72472-9502 2009-02-12
1356539217 Alicia A Wallace Counselor 17 93rd St, Keene, NH 03431-3748 2007-10-04

Office Location

Street Address 105 KATHRYN DR. BLDG. 3, STE. D
City LEWISVILLE
State TX
Zip Code 75067

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437767290 Dental Depot of Lewisville, Pllc Dentist 1260 W Fm 3040, Lewisville, TX 75067 2020-07-17
1548885692 Guiding Grace LLC Case Management 405 State Highway 121, Ste A250, Lewisville, TX 75067 2020-06-15
1548800733 Dfw Lewisville Emergency Center LLC Emergency Medicine 1596 W. Main St., Lewisville, TX 75067 2020-01-15
1386286854 Rachel Lee Herd Registered Nurse 940 W Round Grove Rd Apt 2237, Lewisville, TX 75067 2019-10-16
1437631108 Rosa Lydia Rodriguez Massage Therapist 330 Brook Cove Ln, Lewisville, TX 75067 2018-08-29
1023508819 W. Main Street Dental Lewisville, Tx, P.C. Dentist 724 W Main St Ste 316, Lewisville, TX 75067 2018-05-16
1861921116 Megan Blair Morrison Dentist 420 E Round Grove Rd #640, Lewisville, TX 75067 2017-06-09
1508305905 Schofield Orthodontics Pllc Dentist 755 Hwy 121 Byp, A200, Lewisville, TX 75067 2017-02-17
1275080897 Trinity Counseling Counselor 2001 Woven Trail, Lewisville, TX 75067 2016-09-01
1750745840 Shelley Tedder Counselor 2785 Rockbrook Dr. Suite 306, Lewisville, TX 75067 2016-04-05
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366078602 Caroline Joanna Walton Counselor 2012 Fm 407 Ste 200c, Lewisville, TX 75077-7193 2020-03-18
1073176764 Suzanne Louise Nieves Counselor 2785 Rockbrook Dr Ste 306, Lewisville, TX 75067-5251 2019-04-17
1780177832 Mary Vixaisack Counselor 937 Golden Grove Dr, Lewisville, TX 75067-6118 2018-06-13
1841710480 Sofia Lopez Galvan Counselor 326 S Edmonds Ln Ste 103, Lewisville, TX 75067-3507 2017-06-25
1013448513 Casey Dudark Newman Counselor 105 Kathryn Dr # 3, Lewisville, TX 75067-4216 2017-03-26
1831639160 Jacqueline Nguyen Bang Counselor 2287 Sir Amant Drive, Lewisville, TX 75056 2017-03-06
1811447931 Christy K Narvaez Counselor 275 E Vista Ridge Mall Dr Apt 7823, Lewisville, TX 75067-4037 2016-10-12
1780131417 Theresa Braddy Counselor 160 E Vista Ridge Mall Dr, 1415, Lewisville, TX 75067-3716 2016-09-11
1396291662 Jamie Walker Counselor 105 Kathryn Dr Bld 3 Ste D, Lewisville, TX 75067-4200 2016-08-28
1225483217 Bonnie Rinn Counselor 2436 S Valley Pkwy Apt 2110, Lewisville, TX 75067-2036 2016-04-27
Find all providers in LEWISVILLE

Competitor

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City LEWISVILLE
Zip Code 75067

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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