PROF. KERRY L WALLACE (NPI# 1841234101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841234101 |
| Entity Type | Individual |
| Full Name | PROF. KERRY L WALLACE |
| Credential | LMHC, NCC |
| Practice Address |
661 Seminola Blvd Casselberry FL 32707-3057 |
| Mailing Address |
1841 Crowley Cir E Longwood FL 32779-7016 |
| Practice Telephone | 4073330254 |
| Practice Fax Number | 4073331231 |
| Mailing Telephone | 4073330254 |
| Mailing Fax Number | 4073331231 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH 5283 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932499498 | Kerry Diane Wallace | Nurse Anesthetist, Certified Registered | 2525 Court Dr, Gastonia, NC 28054-2140 | 2011-04-18 |
| Street Address |
661 SEMINOLA BLVD |
| City | CASSELBERRY |
| State | FL |
| Zip Code | 32707-3057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942254008 | Robert M Bollet | Psychologist | 661 Seminola Blvd, Casselberry, FL 32707-3057 | 2006-05-20 |
| 1316577505 | Jennifer Napier Inc | Marriage & Family Therapist | 661 Seminola Blvd, Casselberry, FL 32707-3057 | 2020-01-16 |
| 1073092722 | Lyon Counseling LLC | Community/Behavioral Health | 661 Seminola Blvd, Casselberry, FL 32707-3057 | 2018-08-13 |
| 1154869493 | Jennifer Lynn Napier | Marriage & Family Therapist | 661 Seminola Blvd, Casselberry, FL 32707-3057 | 2017-02-07 |
| 1689025090 | Melissa Rini | Counselor | 661 Seminola Blvd, Casselberry, FL 32707-3057 | 2016-06-27 |
| 1750773859 | The Center for Counseling and Consulting | Community/Behavioral Health | 661 Seminola Blvd, Casselberry, FL 32707-3057 | 2015-02-26 |
| 1700289634 | Keith L. Sims | Counselor | 661 Seminola Blvd, Casselberry, FL 32707-3057 | 2014-10-06 |
| 1558763599 | Jesse Lyon | Counselor | 661 Seminola Blvd, Casselberry, FL 32707-3057 | 2014-09-22 |
| 1215296413 | Jrini,inc. | Community/Behavioral Health | 661 Seminola Blvd, Casselberry, FL 32707-3057 | 2012-05-08 |
| 1811273386 | Margaret A Grebin | Marriage & Family Therapist | 661 Seminola Blvd, Casselberry, FL 32707-3057 | 2011-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905024 | Kirsten Griffin | Durable Medical Equipment & Medical Supplies | 5021 S Us Highway 17/92, Casselberry, FL 32707 | 2018-06-13 |
| 1255878716 | Breaking Change Services | In Home Supportive Care | 260 S Cypress Way, Cassleberry, FL 32707 | 2017-01-23 |
| 1891240578 | Faye Gabrielle Burkett | Behavioral Analyst | 1140 Exceller Ct Apt 102, Casselberry, FL 32707 | 2016-08-23 |
| 1033576095 | Jamerson Lovett | Home Health Aide | 1154 Millrun Circle, Apopka, FL 32707 | 2016-01-21 |
| 1629460647 | Abby Lewis | Speech-Language Pathologist | 2440 Lake Vista Ct Apt 308, Casselberry, FL 32707 | 2015-02-27 |
| 1942625439 | Stephanie Kern | Chiropractor | 853 Sr 436, Suite 1001, Casselberry, FL 32707 | 2014-02-20 |
| 1548681703 | David J. Jenkins, D.c.,p.a. | Chiropractor | 897 East Semoran Blvd, Casselberry, FL 32707 | 2013-12-13 |
| 1871879338 | The Arbor School of Central Florida | Specialist | 3925 Red Bug Lake Road, Casselberry, FL 32707 | 2011-10-28 |
| 1982989307 | Ability Rehab | Public Health or Welfare | 520 Reflection Circle, Apt.205, Casselberry, FL 32707 | 2011-10-17 |
| 1861790149 | The Outsource Group | Case Management | 950 South Winter Park Drive, Suite 120, Casselberry, FL 32707 | 2011-03-10 |
| Find all providers in zip 32707 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437613 | Renew Therapy and Services | Counselor | 280 N Wilderness Pt, Casselberry, FL 32707-5273 | 2020-11-03 |
| 1356956833 | Kelley Layne Maloney | Counselor | 457 D St, Casselberry, FL 32707-3085 | 2020-09-11 |
| 1225648058 | Daniel Connolly Harrigan | Counselor | 401 Georgetown Dr Apt B, Casselberry, FL 32707-6113 | 2020-08-06 |
| 1609400530 | Oriana Marquez | Counselor | 1421 Waukon Cir, Casselberry, FL 32707-6738 | 2020-02-29 |
| 1063074078 | Catharine Haley Rizor | Counselor | 247 Domus Ln, Casselberry, FL 32707-2424 | 2019-07-01 |
| 1841751476 | Lottie Hillard | Counselor | 1233 Quintuplet Ct, Casselberry, FL 32707-3509 | 2019-03-27 |
| 1801289129 | Jennifer Pilot | Counselor | 96 Plumosa Ave, Casselberry, FL 32707-2937 | 2015-03-11 |
| 1881035301 | Kathy Lee Hurley | Counselor | 1544 Seminola Blvd Suite 116, Casselberry, FL 32701 | 2013-07-12 |
| 1497990808 | Cora D Lawson | Counselor | 160 Sunnytown Rd, Casselberry, FL 32707-3840 | 2008-12-15 |
| 1124099676 | Melanie Kirby Stein | Counselor | 335 Sawgrass Pl, Casselberry, FL 32707-5216 | 2006-01-31 |
| Find all providers in CASSELBERRY | ||||
| City | CASSELBERRY |
| Zip Code | 32707 |
Please comment or provide details below to improve the information on PROF. KERRY L 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.