Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MIKE THOMAS WALLACE, L.P.C.
Active Sole ProprietorMR. MIKE THOMAS WALLACE, L.P.C. is a Mental Health Counselor healthcare provider located in GLENDALE, Arizona. NPI 1043446420 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · GLENDALE, AZ
Registration Details
- NPI Number
- 1043446420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2009 (17.227767705345 yrs)
- Last Updated
- May 30, 2009
- License
-
10676 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7075 W BELL RDGLENDALE, AZ, 853088546Browse AZ providers · Browse ZIP 85308
- Phone
- 6238104959
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in GLENDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL L SWEENEY | MSW | 1023110947 |
| MS. NANCY NATION | LCSW | 1689771404 |
| MRS. JESSICA AUDRYLEE WHITAKER | MSW | 1295818607 |
| MRS. HEATHER DAWN SESTILI | MSCP, NCC, RPT, LPC | 1205919271 |
| MS. JULIE DENISE ESPINOZA | L.P.C. | 1427135748 |
| MR. DOUG SUMMERS | LISAC | 1174694954 |
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.