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SIMONE WALLACE
NPI 1043906027
Counselor in Minneapolis, MN

Active since April 13, 2023
1044 27TH AVE SE APT D, MINNEAPOLIS, MN 55414(612) 508-9723 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Simone Wallace NPPES

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

SIMONE WALLACE (NPI 1043906027) is an individual counselor in Minneapolis, Minnesota and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1043906027
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSIMONE WALLACE
Location Address1044 27TH AVE SE APT DMinneapolis, MN 55414-2736
Mailing Address1044 27th Ave Se Apt DMinneapolis, MN 55414-2736 · (612) 508-9723
Phone(612) 508-9723
Sole ProprietorNo
Enumeration DateApril 13, 2023
NPPES CertifiedApril 13, 2023
✔ NPI 1043906027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1044 27TH AVE SE APT D, Minneapolis, MN 55414
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Other Names 1

Former Name (1)Simone Stitt

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 Simone Wallace's NPI number?

The NPI number for Simone Wallace is 1043906027. It was assigned to this individual provider in the NPPES registry on April 13, 2023. The provider is also known as Simone Stitt.

Where is Simone Wallace located?

Simone Wallace practices at 1044 27th Ave SE Apt D, Minneapolis, MN 55414. The listed phone number is (612) 508-9723.

What is Simone Wallace's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Simone Wallace was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.