Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELLANI MARITZA WALLACE
ActiveMELLANI MARITZA WALLACE is a Counselor healthcare provider located in BRANDON, Mississippi. NPI 1033799499 is currently active in the NPPES registry. Verify at CMS.
Counselor · BRANDON, MS
Registration Details
- NPI Number
- 1033799499
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2021 (5.3835685555387 yrs)
- Last Updated
- Apr 10, 2021
Practice Information
- Address
-
613 MARQUETTE RDBRANDON, MS, 390423038Browse MS providers · Browse ZIP 39042
- Phone
- 6015915553
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in BRANDON, MS
| Name | Credential | NPI |
|---|---|---|
| BESSIE R. FORTENBERRY | LPC, LSW | 1043723794 |
| DR. ALLEN KEITH JOHNSON JR. | DPC, LPC-S | 1194294546 |
| LESLIE KIRK | — | 1932785714 |
| DARBY FAITH DAMON | — | 1477202554 |
| CARINA NICOLE LINDSEY | EDS, LPC, NCC | 1922744721 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.