DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MYISHA L WALLACE

Active

Marriage & Family Therapist · RIVERVIEW, FL

Registration Details

NPI Number
1659062891
Provider Type
Individual
Gender
Female
NPI Issued
May 18, 2023 (2.9426081059516 yrs)
Last Updated
May 18, 2023
License
IMT3816 (FL)

Practice Information

Address
13190 ROYAL PINES AVE
RIVERVIEW, FL, 335799321
Browse FL providers · Browse ZIP 33579
Phone
8135200156
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in RIVERVIEW, FL

Name Credential NPI
STEPHANIE CONNEL 1689087561
RHAMAH NORRIS LMFT 1689138240
KAILA MCCARTHY M.S. LMFT 1790243269
COURTNEY SIMON 1730769449
KERI SILLS-PAYNE LMFT 1093466369
RILEY ARNEMANN 1487374815
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.