MARGARET SUSAN WALLACE


Address: 6315 Mutual Dr, Suite B, Fort Wayne, IN 46825-4238
Phone: 2604098188

MARGARET SUSAN WALLACE (NPI# 1639428931) 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) 1639428931
Entity Type Individual
Full Name MARGARET SUSAN WALLACE
Practice Address 6315 Mutual Dr
Suite B
Fort Wayne
IN 46825-4238
Mailing Address 10214 Chestnut Plaza Dr
#130
Fort Wayne
IN 46814-8970
Practice Telephone 2604098188
Practice Fax Number 8667428426
Mailing Telephone 2604098188
Mailing Fax Number 8667428426
Enumeration Date 2012-08-31
Last Update Date 2012-08-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
39002298A IN Behavioral Health & Social Service Providers

Other Providers MARGARET WALLACE

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1629462718 Margaret Wallace Marriage & Family Therapist 18344 Clark St Ste 205, Tarzana, CA 91356-3575 2015-03-26
1578996617 Margaret Wallace Specialist 10536 Flatlands 5th St, Brooklyn, NY 11236-4636 2013-08-13
1508201674 Margaret Wallace Licensed Practical Nurse 68 Lunny Ct, Carbondale, PA 18407-2674 2013-05-02
1114175460 Margaret Wallace Licensed Practical Nurse 106 9th Ave, Pitman, NJ 08071-2208 2008-08-28
1356885347 Margaret Wallace Nurse Practitioner 25 Wells St, Westerly, RI 02891-2922 2016-12-09
1124475439 Margaret Leigh Wallace Registered Nurse 8141 W Center Rd Ste 200, Omaha, NE 68124-3273 2016-05-17
1366877060 Margaret L Wallace Physician Assistant 22100 Greenfield Rd, Suite 101, Oak Park, MI 48237-2550 2013-09-12
1922442482 Margaret L. Wallace Health Educator 35 Longwood Rd, Middle Island, NY 11953-2045 2013-04-26
1700110764 Margaret Ann Wallace Social Worker 2725 Highway 51 S, Hernando, MS 38632-2634 2009-09-23
1952450512 Margaret O Wallace Nurse Anesthetist, Certified Registered 2333 Biddle St, Wyandotte, MI 48192-4668 2007-01-10

Office Location

Street Address 6315 MUTUAL DR
SUITE B
City FORT WAYNE
State IN
Zip Code 46825-4238

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336772078 Bradley Murphy Occupational Therapist 2626 St Joe Center Ed, Fort Wayne, IN 46825 2020-02-21
1144851015 Sabryna Roman Developmental Therapist 2626 St Joe Center Rd, Fort Wayne, IN 46825 2020-01-30
1205474103 Ashleigh Miller Developmental Therapist 2626 St. Joe Center Rd, Fort Wayne, IN 46825 2019-12-11
1962055152 Carehalo Ohio LLC General Practice 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 2019-07-17
1306318175 Logan Alan Williams Nurse Anesthetist, Certified Registered 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 2018-12-18
1326582925 Mark F Stoner LLC Dentist 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 2016-12-15
1336695782 Nadine Rene' Handy Nurse Practitioner 3978 New Vision Dr., Fort Wayne, IN 46825 2016-08-26
1558815712 Nathan Paul Miller Physical Therapist 10006 Auburn Park Dr, Fort Wayne, IN 46825 2016-08-05
1013366905 Brianna Abbott Physician Assistant 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 2016-06-10
1003276643 Seiss, LLC Psychologist 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 2016-02-24
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548881899 Emily H Cook Counselor 2130 Pemberton Dr, Fort Wayne, IN 46805-4628 2020-04-28
1871113274 At Your Pace Counseling, LLC Counselor 6717 Sky Blue Dr, Fort Wayne, IN 46804-4648 2020-04-26
1962049809 Lynne Beardsley Counselor 4630 W Jefferson Blvd Ste 11, Fort Wayne, IN 46804-6856 2019-12-10
1578108767 Wholistic Wellness Counseling and Consulting LLC Counselor 1129 Rivermet Ave, Fort Wayne, IN 46805-4232 2019-11-11
1922654722 Nicole Conrad Counselor 908 Manck Dr, Fort Wayne, IN 46814-8995 2019-08-16
1336794148 Healing Through Art Counselor 3521 Lake Ave # B1, Fort Wayne, IN 46805-5536 2019-08-08
1013578749 A.w. Holdings, LLC Counselor 3900 Hursh Rd, Fort Wayne, IN 46845-9677 2019-06-24
1811450646 Living Waters Peace Center Counselor 3262 Mallard Cove Ln Ste B, Fort Wayne, IN 46804-2883 2019-04-09
1447718325 Victoria Lynn Prokop Counselor 4656 W Jefferson Blvd Ste 210, Fort Wayne, IN 46804-6884 2019-03-09
1811467632 Believe Counseling and Consulting Counselor 2200 Lake Ave Ste 140, Fort Wayne, IN 46805-5351 2018-12-05
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Competitor

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City FORT WAYNE
Zip Code 46825

Improve Information

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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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