NATALIE WALLACE (NPI# 1295134922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295134922 |
| Entity Type | Individual |
| Full Name | NATALIE WALLACE |
| Practice Address |
2506 Willowbrook Pkwy Suite 102 Indianapolis IN 46205-1564 |
| Mailing Address |
240 N Tillotson Ave Muncie IN 47304-3988 |
| Practice Telephone | 3178032270 |
| Practice Fax Number | 3172171769 |
| Mailing Telephone | 7652881928 |
| Mailing Fax Number | 3172171769 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2017-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720604788 | Natalie Wallace | Dietitian, Registered | 1736 E Sycamore Ave Apt C, El Segundo, CA 90245-3336 | 2020-06-24 |
| 1104384429 | Natalie Erin Wallace | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2019-03-05 |
| 1437513884 | Natalie Marie Wallace | Social Worker | 72 West St, Danbury Clinical Services, Danbury, CT 06810-6531 | 2016-04-12 |
| 1386059061 | Natalie Hale Wallace | Internal Medicine | 2925 Debarr Rd Ste 300, Anchorage, AK 99508-2974 | 2014-06-21 |
| 1710399894 | Natalie Wallace | Case Manager/Care Coordinator | 4171 N Crossover Rd, Fayetteville, AR 72703-4591 | 2014-05-23 |
| 1861639353 | Natalie Michael Wallace | Psychiatry & Neurology | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2009-01-21 |
| Street Address |
2506 WILLOWBROOK PKWY SUITE 102 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46205-1564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248820 | Dan C Brown | Social Worker | 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1564 | 2005-07-08 |
| 1619419439 | John David Meteer | Psychologist | 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1564 | 2016-11-10 |
| 1104204312 | Stephen Morrow | Counselor | 2506 Willowbrook Pkwy, Suite 102, Indianapolis, IN 46205-1564 | 2015-05-08 |
| 1225416571 | Jada Svoboda | Social Worker | 2506 Willowbrook Pkwy, Suite 102, Indianapolis, IN 46205-1564 | 2015-05-07 |
| 1831589142 | Jacqueline Peoples | Social Worker | 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1564 | 2015-01-26 |
| 1023414265 | Uriah Graham | Counselor | 2506 Willowbrook Pkwy, Suite 200, Indianapolis, IN 46205-1564 | 2014-11-17 |
| 1447654330 | Alicia Simle | Psychologist | 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1564 | 2014-10-21 |
| 1174926539 | Angela Bell | Social Worker | 2506 Willowbrook Pkwy, Suite 300, Indianapolis, IN 46205-1564 | 2014-09-30 |
| 1821404880 | Romelita Tavarez | Counselor | 2506 Willowbrook Pkwy, Suite 102, Indianapolis, IN 46205-1564 | 2014-07-10 |
| 1902212582 | Jacob Goldstein | Counselor | 2506 Willowbrook Pkwy, Indianapolis, IN 46205-1564 | 2014-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003383233 | Bombeauty Supply and Salon | Durable Medical Equipment & Medical Supplies | 3010 Lake Shore Dr Unit A, Indianapolis, IN 46205 | 2018-10-25 |
| 1376034165 | Sade Trenise Evans | Behavior Technician | 4740 Kingsway Drive, Indianapolis, IN 46205 | 2018-05-29 |
| 1972057354 | Danielle Mandigo | Social Worker | 4068 Winthrop Ave, Indianapolis, IN 46205 | 2016-08-15 |
| 1386032613 | Hear Indiana Inc | Speech-Language Pathologist | 4740 Kingsway Dr., Suite 33, Indianapolis, IN 46205 | 2015-01-09 |
| 1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
| 1265686638 | Crown Medical Transportation | Non-emergency Medical Transport (VAN) | 4637 Round Lake Rd Ste G, Indianapolis, IN 46205 | 2008-11-11 |
| 1003075912 | Monica Silvia Oclander | Nurse Practitioner | Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 | 2008-06-05 |
| 1881895647 | Amber Casto | Counselor | 2626 East 46th Street, Suite J, Indianapolis, IN 46205 | 2007-05-30 |
| 1952502098 | Challenge Foundation Academy | Contractor | 3980 Meadows Dr., Indianapolis, IN 46205 | 2007-05-29 |
| 1588871909 | Korinne Fox | Social Worker | 3675 N, Washington Blvd., Indianapolis, IN 46205 | 2007-05-16 |
| Find all providers in zip 46205 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153914 | Beverli D Mason | Counselor | 10231 Chris Dr, Indianapolis, IN 46229-1875 | 2020-10-26 |
| 1376150656 | Shelia Hall | Counselor | 7422 Carnation Ln, Indianapolis, IN 46214-1066 | 2020-09-30 |
| 1205443090 | Laura Oliver | Counselor | 2274 Valley Creek Way, Indianapolis, IN 46229-1932 | 2020-09-26 |
| 1932714185 | Thrive Counseling Services, LLC | Counselor | 3750 Kentucky Avenue, Indianapolis, IN 46221-2700 | 2020-09-14 |
| 1033735055 | Luv Taylor | Counselor | 4117 Village Trace Blvd, Indianapolis, IN 46254-6222 | 2020-06-25 |
| 1366067159 | Amdaway Ibrahim | Counselor | 4013 Baker Dr, Indianapolis, IN 46235-1573 | 2020-06-08 |
| 1326661836 | Bridge Clinics | Counselor | 3702 E 10th St, Indianapolis, IN 46201-2554 | 2020-05-19 |
| 1457973380 | Anita J Adams | Counselor | 5218 Cornelius Ave, Indianapolis, IN 46208-2512 | 2020-05-14 |
| 1821610213 | Tiffany Lynette Thompson | Counselor | 4308 Ansar Ln, Indianapolis, IN 46254-3128 | 2020-05-08 |
| 1114549615 | Courtney Terrell | Counselor | 1118 N Audubon Rd, Indianapolis, IN 46219-3116 | 2020-05-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46205 |
Please comment or provide details below to improve the information on NATALIE WALLACE.
| 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.