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

CHAKIAH WALLACE, LAC

Active

CHAKIAH WALLACE, LAC is a Counselor healthcare provider located in LITTLE ROCK, Arkansas. NPI 1902629199 is currently active in the NPPES registry. Verify at CMS.

Counselor · LITTLE ROCK, AR

Registration Details

NPI Number
1902629199
Provider Type
Individual
Gender
Female
NPI Issued
Nov 5, 2024 (1.7629589698454 yrs)
Last Updated
Aug 19, 2025
Licenses
A2411012 (AR)
A2411012 (AR)

Practice Information

Address
6501 W. 12TH, STREET
LITTLE ROCK, AR, 722041511
Browse AR providers · Browse ZIP 72204
Phone
5016668686
Fax
5016606832
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Mental Health Counselor
Additional Specialty
Mental Health Counselor
Additional Specialty
Counselor

Other Counselor Providers in LITTLE ROCK, AR

Name Credential NPI
LORY SAXTON KISTNER LCSW 1669437547
STASIA LYN WIER MYERS LCSW 1790720415
DR. ANN HEDGE CARRUTHERS PHD 1477577864
MRS. LASHON D CHRISTOPHER LPC 1518070960
SUZANNE JAMES LCSW 1710038948
MS. CONSTANCE COLLIER LPC 1619002789
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.