MR. MIKE THOMAS WALLACE L.P.C.
NPI 1043446420
Counselor - Mental Health in Glendale, AZ

Q: What is Mike Wallace's NPI number?

The NPI number for Mike Wallace is 1043446420. It was assigned to this individual provider in the NPPES registry on May 30, 2009.

Q: What is Mike Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mike Wallace was last updated on May 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since May 30, 2009

7075 W BELL RD, GLENDALE, AZ 85308(623) 810-4959 Get Directions Write a Review

NPPES record last updated: May 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Mike Thomas Wallace L.p.c. NPPES

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

MR. MIKE THOMAS WALLACE L.P.C. (NPI 1043446420) is an individual mental health provider in Glendale, Arizona, licensed in Arizona (10676) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1043446420

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. MIKE THOMAS WALLACECredential: L.P.C.

Location Address7075 W BELL RDGlendale, AZ 85308-8546

Mailing Address7075 W Bell RdGlendale, AZ 85308-8546 · (623) 810-4959

Phone(623) 810-4959

Sole ProprietorYes

Enumeration DateMay 30, 2009

✔ NPI 1043446420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AZ · 10676

7075 W BELL RD, Glendale, AZ 85308

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Other Providers at the Same Location NPPES 5

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

VAN EDEN CAVE MC, LPC

Counselor (Mental Health)

7075 W BELL RD, SUITE 3
GLENDALE, AZ 85308

Maricopa County (602) 485-1245

BRANDON DOUGLAS ANDREW HIS

Hearing Instrument Specialist

7075 W BELL RD
GLENDALE, AZ 85308

Maricopa County (623) 201-4461

KIMBERLY K. THORN LMFT

Marriage & Family Therapist

7075 W BELL RD, SUITE 3
GLENDALE, AZ 85308

Maricopa County (866) 327-6196

DR. ROBERT ALAN DARDEN PH.D.

Psychologist

7075 W BELL RD, SUITE 3
GLENDALE, AZ 85308

Maricopa County (623) 810-6792

GRANT MICHAEL POOLEY

Counselor (Mental Health)

7075 W BELL RD
GLENDALE, AZ 85308

Maricopa County (602) 529-6557

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 Mike Wallace's NPI number?

The NPI number for Mike Wallace is 1043446420. It was assigned to this individual provider in the NPPES registry on May 30, 2009.

Where is Mike Wallace located?

Mike Wallace practices at 7075 W Bell Rd, Glendale, AZ 85308. The listed phone number is (623) 810-4959.

What is Mike 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 Mike Wallace was last updated on May 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.