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PRESTYNE S. WALLACE
NPI 1003619586
Counselor - Professional in Milwaukee, WI

Active since March 31, 2025
2809 N 52ND ST, MILWAUKEE, WI 53210(414) 732-9938 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Prestyne S. Wallace NPPES

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

PRESTYNE S. WALLACE (NPI 1003619586) is an individual professional provider in Milwaukee, Wisconsin and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1003619586
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePRESTYNE S. WALLACE
Location Address2809 N 52ND STMilwaukee, WI 53210-1608
Mailing Address2809 N 52nd StMilwaukee, WI 53210-1608 · (414) 732-9938
Phone(414) 732-9938
Sole ProprietorYes
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 30, 2025
✔ NPI 1003619586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2809 N 52ND ST, Milwaukee, WI 53210
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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 Prestyne Wallace's NPI number?

The NPI number for Prestyne Wallace is 1003619586. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Prestyne Wallace located?

Prestyne Wallace practices at 2809 N 52nd St, Milwaukee, WI 53210. The listed phone number is (414) 732-9938.

What is Prestyne Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Prestyne Wallace was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.