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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
39002298A | IN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
6315 MUTUAL DR SUITE B |
City | FORT WAYNE |
State | IN |
Zip Code | 46825-4238 |
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 |
Find all providers in zip 46825 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46825 |
Please comment or provide details below to improve the information on MARGARET SUSAN 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.