MISS ALYSEN JANAE WALLACE (NPI# 1912244369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912244369 |
Entity Type | Individual |
Full Name | MISS ALYSEN JANAE WALLACE |
Credential | MS, LPCA |
Practice Address |
9201 University City Blvd Charlotte NC 28223-0001 |
Practice Telephone | 7046870040 |
Mailing Telephone | 7046870040 |
Enumeration Date | 2013-01-04 |
Last Update Date | 2014-04-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
A9799 | NC | Behavioral Health & Social Service Providers |
Street Address |
9201 UNIVERSITY CITY BLVD |
City | CHARLOTTE |
State | NC |
Zip Code | 28223-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508820614 | Abbey Thomas | Specialist/Technologist | 9201 University City Blvd, Belk 231, Charlotte, NC 28223 | 2006-04-14 |
1558968792 | Katrina Trinidad Gallo | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2020-10-01 |
1043817281 | Robert Eachus | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2020-10-01 |
1205440450 | University of North Carolina At Charlotte | Clinical Medical Laboratory | 9201 University City Blvd, Cameron 271, Charlotte, NC 28223-0001 | 2020-09-04 |
1568096089 | Shelley Linens | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2020-02-24 |
1053943290 | Luke Donovan | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2020-02-05 |
1972158129 | Tricia Turner | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0002 | 2019-08-05 |
1164947768 | Jessica Groleau | Psychologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2017-08-04 |
1427402890 | Christopher Rogers | Pharmacist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2016-04-21 |
1740689884 | Tracy Beyer | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2014-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306450887 | Brocker Health Center/ Unc Charlotte | Clinic/Center | 9201 University City Blvd Student Health Center, Charlotte, NC 28223-0001 | 2020-09-02 |
1427520485 | Rebeca Coletti | Behavior Technician | 8939 Cameron Blvd, Charlotte, NC 28223-0001 | 2018-12-31 |
1407240872 | Linda Probst | Specialist/Technologist | Department of Kinesiology, 9201 University City Blvd, Charlotte, NC 28223-0001 | 2015-03-24 |
1255626578 | Lydia Boldt Smith | Counselor | 9201 University City Blvd., Counseling, Charlotte, NC 28223-0001 | 2011-06-15 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1457962789 | Art of Expression, Pllc | Counselor | 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 | 2020-08-11 |
1952925141 | Leanna R Rice | Counselor | 6015 Glendale Chase Ct Apt 302, Charlotte, NC 28217-0077 | 2020-06-03 |
1902429772 | Sunshine Care LLC | Counselor | 2108 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4215 | 2020-05-27 |
1194348557 | Immerse & Emerge Counseling | Counselor | 10617 Kettering Dr Ste 113, Charlotte, NC 28226-4900 | 2020-05-20 |
1477174464 | Oliver's Contracting, Consulting, & Counseling Services, Pllc | Counselor | 4108 Park Rd Ste 408, Charlotte, NC 28209-2262 | 2020-04-30 |
1720619679 | John Wesley Goodwin IIi | Counselor | 5015 Stowe Derby Dr, Charlotte, NC 28278-7377 | 2020-01-30 |
1063059731 | Justina Mame Adadewa Ankrah | Counselor | 3001 Buckleigh Dr, Charlotte, NC 28215-7538 | 2019-12-02 |
1538704051 | Hattie M Williams | Counselor | 7517 Orr Rd, Charlotte, NC 28213-6544 | 2019-11-07 |
1720623390 | Maylee Vazquez | Counselor | 201 Stetson Dr, Charlotte, NC 28262-3364 | 2019-11-07 |
1053955468 | Hollis Wilson | Counselor | 6715a Fairview Rd Ste 102, Charlotte, NC 28210-3323 | 2019-10-30 |
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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.