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DARRE'LL J WALLACE
NPI 1003321720
Counselor - Mental Health in Shreveport, LA

Active since December 04, 2017
1711 MARSHALL ST, SHREVEPORT, LA 71101(318) 226-9944(318) 226-9942 Get Directions Write a Review

NPPES record last updated: December 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Darre'll J Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DARRE'LL J WALLACE (NPI 1003321720) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1003321720
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDARRE'LL J WALLACE
Location Address1711 MARSHALL STShreveport, LA 71101-4139
Mailing Address1711 Marshall StShreveport, LA 71101-4139 · (318) 226-9944 · Fax (318) 226-9942
Phone(318) 226-9944
Fax(318) 226-9942
Sole ProprietorYes
Enumeration DateDecember 4, 2017
✔ NPI 1003321720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1711 MARSHALL ST, Shreveport, LA 71101
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Darre'll Wallace's NPI number?

The NPI number for Darre'll Wallace is 1003321720. It was assigned to this individual provider in the NPPES registry on December 4, 2017.

Where is Darre'll Wallace located?

Darre'll Wallace practices at 1711 Marshall St, Shreveport, LA 71101. The listed phone number is (318) 226-9944.

What is Darre'll Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Darre'll Wallace was last updated on December 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.