Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAYCHELLE SHERYL WALLACE
Active Sole ProprietorRAYCHELLE SHERYL WALLACE is a Mental Health Counselor healthcare provider located in BRANDON, Florida. NPI 1609464098 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · BRANDON, FL
Registration Details
- NPI Number
- 1609464098
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 2, 2021 (5.6607539777297 yrs)
- Last Updated
- Aug 14, 2023
- Licenses
-
IMH18337 (FL)IMH18337 (FL)IMH18337 (FL)IMH18337 (FL)IMH18337 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
673 W LUMSDEN RDBRANDON, FL, 335115911Browse FL providers · Browse ZIP 33511
- Phone
- 8137980800
- Fax
- 8137987800
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Clinic
- Additional Specialty
- Case Management Agency
- Additional Specialty
- Adult Mental Health Clinic
- Additional Specialty
- Adolescent and Children Mental Health Clinic
Other Mental Health Counselor Providers in BRANDON, FL
| Name | Credential | NPI |
|---|---|---|
| MAGALY DANTE | LMHC | 1447267398 |
| MR. JOSEPH MONTELEONE | LMHC, LMFT | 1912916826 |
| CARRIE L WILSON | MA, LMHC | 1922179118 |
| BEATRIZ F GALVIS | MA | 1841350402 |
| CLOIE N. WILLIAMS | LMHC | 1043360472 |
| EDWIN COSTIN HARDISON | LMHC | 1982740262 |
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.