MADISON WALLACE MHP
NPI 1003622937
Counselor - Mental Health in Dixon, IL
About Madison Wallace Mhp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON WALLACE MHP (NPI 1003622937) is an individual mental health provider in Dixon, Illinois and active in the NPI registry since December 2024.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Madison Wallace's NPI number?
The NPI number for Madison Wallace is 1003622937. It was assigned to this individual provider in the NPPES registry on December 5, 2024.
Where is Madison Wallace located?
Madison Wallace practices at 325 Illinois Rt 2, Dixon, IL 61021. The listed phone number is (815) 284-6611.
What is Madison 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 Madison Wallace was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.