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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
74421 | TX | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS | 74421 | 01 |
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 |
Street Address |
105 KATHRYN DR. BLDG. 3, STE. D |
City | LEWISVILLE |
State | TX |
Zip Code | 75067 |
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 |
Find all providers in zip 75067 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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 |
City | LEWISVILLE |
Zip Code | 75067 |
Please comment or provide details below to improve the information on ALICIA D WALLACE.
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.