ROBERT LEE WALLACE (NPI# 1154582773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154582773 |
Entity Type | Individual |
Full Name | ROBERT LEE WALLACE |
Credential | LPC |
Practice Address |
110 S Hancock St Rockingham NC 28379-3675 |
Practice Telephone | 9109979240 |
Mailing Telephone | 9109979240 |
Enumeration Date | 2008-06-17 |
Last Update Date | 2008-06-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 4253 | NC | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316430176 | Robert E Wallace | Case Manager/Care Coordinator | 283 Old Colliers Way, Weirton, WV 26062-4073 | 2018-06-07 |
1801337134 | Robert William Wallace II | Student in an Organized Health Care Education/Training Program | 204 N Silver Maple Dr, Slidell, LA 70458-5483 | 2017-03-20 |
1780015610 | Robert G. Wallace | Radiology | 1130 Goat Rock Road, Fortson, GA 31808 | 2013-12-03 |
1972947257 | Robert William Wallace | Registered Nurse | 40 Ridge Dr, West Hurley, NY 12491-5627 | 2013-04-17 |
1487991683 | Robert J Wallace | Acupuncturist | 1619 W Montrose, Chicago Holistic Medicine, Chicago, IL 60613 | 2013-01-08 |
1649484635 | Robert Jay Wallace | Obstetrics & Gynecology | 6250 Alfred Harrell Hwy, Bakersfield, CA 93308-9654 | 2007-05-09 |
1023132644 | Robert S Wallace | Chiropractor | 7 Centre Dr, Suite 10, Monroe, NJ 08831-1565 | 2007-03-19 |
1750443024 | Robert Wallace | Pharmacist | 12421 W Denton Ave, Litchfield Park, AZ 85340-3435 | 2006-12-14 |
1922113174 | Robert Vernon Wallace | Family Medicine | 400 Lee Blvd, Lehigh Acres, FL 33936-4923 | 2006-08-20 |
1134133200 | Robert Duncan Wallace | Psychiatry & Neurology | 2972 Devonshire Cir, Salt Lake City, UT 84108-2526 | 2006-07-27 |
Street Address |
110 S HANCOCK ST |
City | ROCKINGHAM |
State | NC |
Zip Code | 28379-3675 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
1790311835 | Daymark Recovery Services Inc | Community/Behavioral Health | 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 | 2020-03-20 |
1639646318 | Lakir Patel | Pharmacist | 720 E Highway Business 74, Rockingham, NC 28379 | 2018-10-31 |
1205368180 | Karen Mclaurin | Early Intervention Provider Agency | 138 Ivy Trail, Rockingham, NC 28379 | 2017-03-30 |
1134574130 | Laura Mcrae Harris | Counselor | 2202 Fayetteville Road, Rockingham, NC 28379 | 2016-04-27 |
1275904542 | Marsha A Murphy | Counselor | 325 South Long Drive, Rockingham, NC 28379 | 2015-10-13 |
1659741361 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1262 East Broad Avenue, Rockingham, NC 28379 | 2015-10-07 |
1841683448 | Tawanda L Bennett | Counselor | 2202 Fayetteville Rd., Rockingham, NC 28379 | 2015-03-06 |
1841682846 | Patricia Ann Flowers | Counselor | 119 Rockinham Rd, Rockingham, NC 28379 | 2015-02-27 |
Find all providers in zip 28379 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518439231 | Tania Mcdonald | Counselor | 302 Leak St, Rockingham, NC 28379-3765 | 2018-12-19 |
1841682846 | Patricia Ann Flowers | Counselor | 119 Rockinham Rd, Rockingham, NC 28379 | 2015-02-27 |
1962705244 | Trina K. Locklear | Counselor | 116 S. Lawrence St., Rockingham, NC 28380-3657 | 2010-12-08 |
1346561016 | Tiffany Sophia Newton | Counselor | 1219 Rockingham Rd Ste 12, Rockingham, NC 28379-4925 | 2010-06-17 |
1437355344 | Rolanda Denise Malloy | Counselor | 315 C South Long Drive, Rockingham, NC 28379 | 2007-06-26 |
1275739898 | Program Resource Institute, Inc. | Counselor | 225 S Hancock St, Suit E, Rockingham, NC 28379-3678 | 2007-06-21 |
1134244270 | Timothy Ray Field | Counselor | 426 Elizabeth Ave, Rockingham, NC 28379-3118 | 2007-03-20 |
1972053981 | Asha B's Closet | Counselor | 315c S Long Dr, Rockingham, NC 28379-3991 | 2016-10-13 |
1801134614 | Amanda Blair Faulk | Counselor | 503 Rockingham Rd, Rockingham, NC 28379-3615 | 2013-01-29 |
1649546581 | Liquita Monique Crosland | Counselor | 116 S Lawrence St, Rockingham, NC 28379-3657 | 2012-03-26 |
Find all providers in ROCKINGHAM |
City | ROCKINGHAM |
Zip Code | 28379 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.