STEPHANIE WALLACE (NPI# 1750988127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 121620 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 106H00000X | 05 |
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 |
Street Address |
730 MEDICAL CENTER CT |
City | CHULA VISTA |
State | CA |
Zip Code | 91911-6618 |
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 |
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 Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
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. |
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 |
City | CHULA VISTA |
Zip Code | 91911 |
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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.