MARGUERITE THERESE WALLACE (NPI# 1659566164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659566164 |
| Entity Type | Individual |
| Full Name | MARGUERITE THERESE WALLACE |
| Credential | M.S. ED, LPCC |
| Practice Address |
1 Elizabeth Place West Pavillion First Floor Suite C Dayton OH 45408 |
| Mailing Address |
Po Box 190 Alpha OH 45301-0190 |
| Practice Telephone | 9372565300 |
| Mailing Telephone | 9372535600 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2893 | OH | Behavioral Health & Social Service Providers |
| Street Address |
1 ELIZABETH PLACE WEST PAVILLION FIRST FLOOR SUITE C |
| City | DAYTON |
| State | OH |
| Zip Code | 45408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649237553 | Jerry Eugene Flexman | Clinical Neuropsychologist | 1 Elizabeth Place, West Pavilion 1st Floor Suite C, Dayton, OH 45408 | 2006-04-26 |
| 1548736168 | Robert Ahlers | Physical Medicine & Rehabilitation | 1 Elizabeth Place, Dayton, OH 45406 | 2018-10-22 |
| 1609124288 | The Morrow Group L.L.C. | Substance Abuse Rehabilitation Facility | 1 Elizabeth Place, Suite 2000, Dayton, OH 45417 | 2012-08-29 |
| 1518291517 | Rhea Rowser, Md LLC | Family Medicine | 1 Elizabeth Place, 5th Floor, Ste. M., Dayton, OH 45417-3445 | 2009-09-23 |
| 1538339452 | Vrajlal N Chauhan | Counselor | 1 Elizabeth Place, Ste D, Dayton, OH 45408 | 2008-03-06 |
| 1801915152 | Janet L Byars | Counselor | 1 Elizabeth Place, Ste 110, Dayton, OH 45408-9901 | 2007-03-28 |
| 1821196833 | Steven D. Mayo | Anesthesiology | 1 Elizabeth Place, Riverview Health Institute, Dayton, OH 45408 | 2006-09-21 |
| 1649217019 | Orpro Inc | Prosthetic/Orthotic Supplier | 1 Elizabeth Place, Suite 300, Dayton, OH 45408-1445 | 2006-06-02 |
| 1639126220 | Medical Center At Elizabeth Place LLC | General Acute Care Hospital | 1 Elizabeth Place, Dayton, OH 45417-3455 | 2006-05-28 |
| 1356399315 | Jerry E Flexman, Phd, Inc | Counselor | 1 Elizabeth Place, West Pavilion 1st Floor Suite C, Dayton, OH 45408 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649441817 | Western Ohio Psychiatric Institute, LLC | Psychiatric Unit | 601 Edwin Moses Boulevard, Dayton, OH 45408 | 2008-03-17 |
| 1730363813 | Susan C Mumford | Social Worker | 627 S. Edwin C. Moses Blvd, Suite 100, Dayton, OH 45408 | 2007-12-24 |
| 1598722571 | William Klykylo | Psychiatry & Neurology | 627 Edwin C Moses Blvd, East Medical Plaza, Dayton, OH 45408 | 2006-04-26 |
| 1265491930 | Healing Touch Home Healthcare | Registered Nurse | 601 S.edwin C. Moses, East Plaza, Suite 3-i, Dayton, OH 45408 | 2006-03-21 |
| 1023082401 | Philip Copelain Williams Jr. | Surgery | One Elizabeth Place, Suite 10a, Dayton, OH 45408 | 2006-02-14 |
| 1912987256 | Heart Hospital of Dto, LLC | General Acute Care Hospital | 707 S. Edwin C. Moses Blvd, Dayton, OH 45408 | 2006-01-20 |
| 1821076365 | Pesso Investments, Ltd | Emergency Medicine | 707 S. Edwin C. Moses Blvd., Dayton, OH 45408 | 2006-01-05 |
| 1184605727 | Benjamin David Shaffer | Pharmacist | 707 South Edwin C. Moses Blvd., Dayton, OH 45408 | 2005-11-10 |
| 1396974358 | The Karrington Company LLC | Durable Medical Equipment & Medical Supplies | One Elizabeth Place, Dayton, OH 45408 | 2009-07-10 |
| 1396966925 | Martha Monica Corradine | Clinic/Center | One Elizabeth Place, Dayton, OH 45408 | 2007-05-01 |
| Find all providers in zip 45408 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879248 | Calypso Counseling, LLC | Counselor | 77 W Elmwood Dr Ste 303, Dayton, OH 45459-4270 | 2020-10-23 |
| 1578170403 | Nicholas Daniel Defazio | Counselor | 1951 S Gettysburg Ave, Dayton, OH 45417-4160 | 2020-09-24 |
| 1518576016 | Butler County Community Health Consortium, Inc. | Counselor | 2011 Timber Ln Ste B, Dayton, OH 45414-4528 | 2020-07-30 |
| 1578102075 | Yvonne De La Paix | Counselor | 350 Dayton Valley Rd Apt 15, Dayton, NV 89403-8918 | 2019-12-31 |
| 1346885530 | Arrell Johnson | Counselor | 120 Devonhurst Dr Apt F, Dayton, OH 45429-2180 | 2019-11-12 |
| 1235798968 | Joshua Minnich | Counselor | 1129 Miamisburg Centerville Rd # 201, Dayton, OH 45449-4004 | 2019-06-06 |
| 1669039418 | Lornette Darden Dallas | Counselor | South Community Behavioral Healthcare, 3095 Kettering Blvd, Dayton, OH 45439-2900 | 2019-05-28 |
| 1992268106 | Stephanie Marin Johnson | Counselor | 1611 Railroad St, Dayton, TN 37321-1044 | 2019-04-13 |
| 1447742895 | Darreon Darrell Greer Sr. | Counselor | Counseling and Wellness Services 053 Student Union, Dayton, OH 45435-0001 | 2018-06-01 |
| 1407366511 | Dominique Dixon | Counselor | 1 Elizabeth Pl Ste Rt-1, Dayton, OH 45417-3445 | 2017-10-03 |
| Find all providers in DAYTON | ||||
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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.