ELIZABETH WALLACE (NPI# 1275902462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275902462 |
| Entity Type | Individual |
| Full Name | ELIZABETH WALLACE |
| Practice Address |
111 W Anderson Ln Suite D197 Austin TX 78752-1132 |
| Practice Telephone | 5089328926 |
| Mailing Telephone | 5089328926 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
71945 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083017206 | Elizabeth Wallace | Physical Therapist | 1004 Oakgrove Dr, Knightdale, NC 27545-9295 | 2014-10-01 |
| 1104033513 | Elizabeth Wallace | Speech-Language Pathologist | 8215 Westchester Drive, Suite 234, Dallas, TX 75225-6103 | 2007-05-16 |
| 1932220225 | Elizabeth Spagat Wallace | Acupuncturist | 2024 Se Clinton St., Portland, OR 97202 | 2007-04-03 |
| 1609381896 | Elizabeth Wallace | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2017-12-10 |
| 1881109320 | Elizabeth Wallace | Counselor | 5665 Hoover Rd, Grove City, OH 43123-9122 | 2017-12-06 |
| 1982159356 | Elizabeth Ann Wallace | Nurse Practitioner | 1422 Old Weisgarber Rd, Knoxville, TN 37909 | 2016-08-16 |
| 1912302423 | Elizabeth Wallace | Social Worker | 13207 Wright Rd, Buda, TX 78610-5000 | 2014-10-27 |
| 1649687799 | Elizabeth A Wallace | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | 2014-07-21 |
| 1942617626 | Elizabeth Wallace | Social Worker | 2400 White Ave, Nashville, TN 37204-2235 | 2014-07-15 |
| 1427478593 | Elizabeth Wallace | Emergency Medicine | 1 Boston Medical Ctr Pl, Dowling 1, Boston, MA 02118-2908 | 2014-04-16 |
| Street Address |
111 W ANDERSON LN SUITE D197 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78752-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992768717 | Long Term Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 111 W Anderson Ln, D 206, Austin, TX 78752-1132 | 2006-04-11 |
| 1225521347 | Yolanda Roshelle Tharbs | Counselor | 111 W Anderson Ln, Austin, TX 78752-1132 | 2018-06-13 |
| 1548629546 | Beyond Horizons LLC | Respite Care | 111 W Anderson Ln, Suite E309, Austin, TX 78752-1132 | 2016-02-18 |
| 1417316068 | Hope Heals Therapy LLC | Counselor | 111 W Anderson Ln, Ste D197, Austin, TX 78752-1132 | 2016-02-10 |
| 1538563226 | Anusree Gupta | Counselor | 111 W Anderson Ln, D197, Austin, TX 78752-1132 | 2014-10-09 |
| 1114269529 | Leigh N Tenhet | Counselor | 111 W Anderson Ln, Suite D-197, Austin, TX 78752-1132 | 2013-03-24 |
| 1932441342 | Amity Psychological Services LLC | Counselor | 111 W Anderson Ln, Suite D-197, Austin, TX 78752-1132 | 2013-03-24 |
| 1841528130 | Waterfalls Medical Clinic Inc. | Clinic/Center | 111 W Anderson Ln, Suite D217 A, Austin, TX 78752-1132 | 2009-11-24 |
| 1356675086 | Terri Katherine Lavergne | Speech-Language Pathologist | 111 W Anderson Ln, Suite C-100, Austin, TX 78752-1132 | 2009-09-29 |
| 1992962989 | Vivian O Ezuruike | Chiropractor | 111 W Anderson Ln, Suite D211, Austin, TX 78752-1132 | 2008-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996807 | Jessica Wells | Social Worker | 313 East Anderson Lane, Suite 120, Austin, TX 78752 | 2019-05-08 |
| 1043702483 | Amelia Secord | Occupational Therapist | 7701 N Lamar, Suite 314, Austin, TX 78752 | 2018-06-01 |
| 1871082420 | J&w Vision Associates Pllc | Optometrist | 6929 Airport Blvd Ste 165, Austin, TX 78752 | 2018-05-08 |
| 1124539242 | The Refuge for Dmst | Counselor | 300 East Saint Johns Ave., Austin, TX 78752 | 2017-10-16 |
| 1639689441 | Sleep Cycle Center, LLC | Dentist | 7101 Easy Wind Dr Unit 3116, Austin, TX 78752 | 2017-10-06 |
| 1215458997 | Jose De Jesus Garcia-cuellar | Social Worker | 7701 N Lamar Blvd Ste 313, Austin, TX 78752 | 2017-07-03 |
| 1619415213 | Infinite Recovery LLC | Substance Abuse Rehabilitation Facility | 7517 Cameron Rd Ste #118, Austin, TX 78752 | 2017-02-03 |
| 1043756612 | Tse Transport Services | Non-emergency Medical Transport (VAN) | 7223 Creekside Drive, Austin, TX 78752 | 2017-01-06 |
| 1912442823 | Anesha Roshon Brown-morris | Massage Therapist | 6406 North Ih 35, Suite 2300, Suite 308, Austin, TX 78752 | 2016-12-31 |
| 1831540319 | Eva Dolores Sloan | Counselor | 500 East St. John's Ave, Austin, TX 78752 | 2016-06-27 |
| Find all providers in zip 78752 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951675 | Caitlin R Battell | Counselor | 12805 Hughes St, Austin, TX 78732-1833 | 2020-10-27 |
| 1316546187 | Cathi Heare | Counselor | 1502 Ranch Road 620, Austin, TX 78734-7873 | 2020-10-22 |
| 1104425214 | Paul Lewis Duffy | Counselor | Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 | 2020-10-20 |
| 1366040958 | Grace Wood | Counselor | 1621 E 6th St Apt 2212, Austin, TX 78702-3327 | 2020-10-15 |
| 1871191379 | Alexis Losch | Counselor | 13740 Research Blvd Ste L5, Austin, TX 78750-1833 | 2020-10-15 |
| 1518573880 | Brenda Lee Rodriguez | Counselor | 11001 S 1st St Apt 225, Austin, TX 78748-6765 | 2020-09-21 |
| 1174139794 | Julie Jackson | Counselor | 8208 Farmington Ct, Austin, TX 78736-1744 | 2020-09-18 |
| 1780290494 | Britney Juliane Watson | Counselor | 10701 S Interstate 35 Apt 113, Austin, TX 78747-1777 | 2020-09-17 |
| 1154936235 | David Barrett | Counselor | 2525 Wallingwood Dr Ste 216, Austin, TX 78746-6900 | 2020-09-15 |
| 1669084943 | Lutheran Social Services of The South, Inc. | Counselor | 10601 Derecho Drive, Austin, TX 78737-1013 | 2020-08-19 |
| Find all providers in AUSTIN | ||||
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| 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.