STEPHANIE WALLACE


Address: 730 Medical Center Ct, Chula Vista, CA 91911-6618
Phone: 6199800237

STEPHANIE WALLACE (NPI# 1750988127) 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) 1750988127
Entity Type Individual
Full Name STEPHANIE WALLACE
Credential ASSOCIATE MFT
Practice Address 730 Medical Center Ct
Chula Vista
CA 91911-6618
Mailing Address 935 Rangeview St
Spring Valley
CA 91977-4759
Practice Telephone 6199800237
Mailing Telephone 3035908221
Enumeration Date 2020-10-07
Last Update Date 2020-10-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 121620 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 106H00000X 05

Other Providers STEPHANIE WALLACE

NPI Name Taxonomy Address Enumeration
1225509524 Stephanie Wallace Speech-Language Pathologist 1014 Glen Crossing Rd, Glen Carbon, IL 62034-8517 2018-12-11
1679755003 Stephanie R Wallace Occupational Therapy Assistant 5626 Lasater Dr Nw Apt 5, Canton, OH 44718-1923 2007-11-27
1841289022 Stephanie R Wallace Pediatrics 2405 Research Parkway, Colorado Springs, CO 80918 2005-10-19
1023619061 Stephanie Lynn Wallace Pharmacist 254 Cassidy Blvd, Pikeville, KY 41501-1426 2020-11-05
1407483878 Stephanie L Wallace Marriage & Family Therapist 1212 Hancock St Ste 205, Quincy, MA 02169-4371 2020-03-25
1427534718 Stephanie E Wallace Nurse Anesthetist, Certified Registered 200 Mercy Circle, Camp Pendleton, CA 92055 2018-07-19
1740791714 Stephanie Wallace Genetic Counselor, MS 6431 Fannin Street, Msb 6.100, Houston, TX 77030 2017-10-18
1477924082 Stephanie Wallace Physician Assistant 1625 N Campbell Ave, Tucson, AZ 85719-4330 2015-10-08
1477943223 Stephanie Wallace Pharmacist 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906-4929 2015-02-02
1033533617 Stephanie Wallace Counselor 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 2014-02-18

Office Location

Street Address 730 MEDICAL CENTER CT
City CHULA VISTA
State CA
Zip Code 91911-6618

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841343910 Emergency Screening Unit Community/Behavioral Health 730 Medical Center Ct, Chula Vista, CA 91911-6618 2007-01-19
1669080925 Amber Elizabeth Stacks Marriage & Family Therapist 730 Medical Center Ct, Chula Vista, CA 91911-6618 2020-07-22
1255957981 Clarissa Lemus Counselor 730 Medical Center Ct, Chula Vista, CA 91911-6618 2020-06-18
1164050464 Diana Esther Perez Counselor 730 Medical Center Ct, Chula Vista, CA 91911-6618 2020-03-31
1366070773 Gwendolyn Villaluna Morilla Counselor 730 Medical Center Ct, Chula Vista, CA 91911-6618 2020-03-31
1730715798 Brittany Alcala Counselor 730 Medical Center Ct, Chula Vista, CA 91911-6618 2020-03-20
1922632983 Taylor Philips Counselor 730 Medical Center Ct, Chula Vista, CA 91911-6618 2020-02-28
1154952398 Sierra Rose Sanders Counselor 730 Medical Center Ct, Chula Vista, CA 91911-6618 2020-01-27
1598303620 Angela Guadalupe Arevalo Counselor 730 Medical Center Ct, Chula Vista, CA 91911-6618 2019-12-19
1750929071 Brittany Alexandra Anne Curran Counselor 730 Medical Center Ct, Chula Vista, CA 91911-6618 2019-12-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962011064 Hfm Inc Pharmacy 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 2020-07-24
1659991198 Cindy Way Student in an Organized Health Care Education/Training Program 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 2020-04-24
1083243455 Uriel Angel Gonzalez Student in an Organized Health Care Education/Training Program 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 2020-04-07
1083252464 Denisse Patricia Macias Dentist 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 2019-12-16
1952955494 Jenifer Irene Wright Counselor 1180 Third Ave Suite C-3, Chula Vista, CA 91911 2019-08-01
1891357075 Myriam Lourdes Scales Counselor 1172 3rd Ave Suite D1, Chula Vista, CA 91911 2019-07-08
1295228328 Centro De Salud De La Comunidad De San Ysidro, Inc Clinic/Center 880 Third Ave Ste A, Chula Vista, CA 91911 2018-06-13
1902398589 The Arc of San Diego Day Training, Developmentally Disabled Services 1280 Nolan Avenue, Chula Vista, CA 91911 2018-05-31
1003344292 Jalitza Cardona Peer Specialist 853 3rd Ave, Suite C, Chula Vista, CA 91911 2017-06-01
1598138042 Amy Nylund Nurse Practitioner 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 2015-11-05
Find all providers in zip 91911

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497394225 Seeking Therapy Counseling Services Marriage & Family Therapist 821 Kuhn Dr Ste 202, Chula Vista, CA 91914-4508 2019-12-26
1386290237 Harmonic Family Therapy Inc. Marriage & Family Therapist 2566 Catamaran Way Ste 2, Chula Vista, CA 91914-4533 2019-08-15
1326534819 Evangelina Reynoso Marriage & Family Therapist 46 3rd Ave Ste E, Chula Vista, CA 91910-1770 2018-07-08
1912494691 Neda G Rivera Marriage & Family Therapist 492 Tanbark St, Chula Vista, CA 91911-6012 2018-04-18
1275044885 Joshua Esteban Rosario Marriage & Family Therapist 1298 Whitaker Ave, Chula Vista, CA 91911-6707 2017-10-23
1770952160 Mcalister Institute for Treatment & Education, Inc. Marriage & Family Therapist 1385 3rd Ave, Room 10, 11, Chula Vista, CA 91911-4302 2015-09-16
1578931465 Amy Belanger Marriage & Family Therapist 1883 Platte River Ln Unit 1, 1, Chula Vista, CA 91913-5603 2015-09-09
1194193136 Brian Shin Marriage & Family Therapist 855 Bowsprit Rd Ste B, Chula Vista, CA 91914-4529 2015-09-08
1093134405 Rosa Gomez Marriage & Family Therapist 1065 Paseo Del Norte, Chula Vista, CA 91910-6716 2014-04-14
1609217355 Joanna Sarao Songcuan Marriage & Family Therapist 2400 Fenton St Ste 217, Chula Vista, CA 91914 2013-07-10
Find all providers in CHULA VISTA

Competitor

Search similar providers

City CHULA VISTA
Zip Code 91911

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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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