ROBERT LEE WALLACE


Address: 110 S Hancock St, Rockingham, NC 28379-3675
Phone: 9109979240

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 4253 NC Behavioral Health & Social Service Providers

Other Providers ROBERT WALLACE

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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

Office Location

Street Address 110 S HANCOCK ST
City ROCKINGHAM
State NC
Zip Code 28379-3675

Providers in the same zip code

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 Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City ROCKINGHAM
Zip Code 28379

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Dataset Information

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.

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