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

SHANTHALITTA SEALS WALLACE, LMHC

Active Sole Proprietor

SHANTHALITTA SEALS WALLACE, LMHC is a Mental Health Counselor healthcare provider located in JACKSONVILLE, Florida. NPI 1659848539 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · JACKSONVILLE, FL

Registration Details

NPI Number
1659848539
Provider Type
Individual
Gender
Female
NPI Issued
Oct 29, 2018 (7.6108036451688 yrs)
Last Updated
Oct 29, 2018
License
MH15387 (FL)
Sole Proprietor
Yes

Practice Information

Address
9617 WATERSHED DR E
JACKSONVILLE, FL, 322200906
Browse FL providers · Browse ZIP 32220
Phone
8604960909
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in JACKSONVILLE, FL

Name Credential NPI
MR. FRANK MORELLI LMHC 1871598870
JANET FLOYD RASNAKE LMHC 1639177843
LISA HUBBARD LMHC 1689660144
LYNN EDNA BRUESKE ED.S., LMHC 1952389439
DR. ROBERT SCOTT WALTON PH.D. 1336127711
MRS. LOUISE GAY LMFT 1568424331
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.