DEAVEN MCGUIRE WALLACE MA, LPC
NPI 1033378294
Counselor - Professional in Lynchburg, VA

Active since June 03, 2008
21731 TIMBERLAKE RD, LYNCHBURG, VA 24502(434) 455-5033(434) 455-5034 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deaven Mcguire Wallace Ma, Lpc NPPES

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

DEAVEN MCGUIRE WALLACE MA, LPC (NPI 1033378294) is an individual professional provider in Lynchburg, Virginia, licensed in Virginia (0701004377) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1033378294
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDEAVEN MCGUIRE WALLACECredential: MA, LPC
Location Address21731 TIMBERLAKE RDLynchburg, VA 24502-7400
Mailing Address21731 Timberlake RdLynchburg, VA 24502-7400 · (434) 455-5033 · Fax (434) 455-5034
Fax(434) 455-5034
Sole ProprietorYes
Enumeration DateJune 3, 2008
NPI 1033378294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701004377
21731 TIMBERLAKE RD, Lynchburg, VA 24502

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
21731 TIMBERLAKE RD
LYNCHBURG, VA 24502
Counselor (Professional)
21731 TIMBERLAKE RD
LYNCHBURG, VA 24502
Counselor (Professional)
21731 TIMBERLAKE RD
LYNCHBURG, VA 24502
Counselor (Professional)
21731 TIMBERLAKE RD
LYNCHBURG, VA 24502
Counselor (Professional)
21731 TIMBERLAKE RD
LYNCHBURG, VA 24502
Counselor (Professional)
21731 TIMBERLAKE RD
LYNCHBURG, VA 24502
Counselor (Mental Health)
21731 TIMBERLAKE RD
LYNCHBURG, VA 24502
Counselor (Mental Health)
21731 TIMBERLAKE RD
LYNCHBURG, VA 24502

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 Deaven Wallace's NPI number?

The NPI number for Deaven Wallace is 1033378294. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Deaven Wallace located?

Deaven Wallace practices at 21731 Timberlake Rd, Lynchburg, VA 24502. The listed phone number is (434) 455-5033.

What is Deaven 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 Deaven Wallace was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.