1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Counselor
  6. NPI Profile

MRS. TRACEY WALLACE
NPI 1053748038
Counselor - Mental Health in Atlanta, GA

Active since October 04, 2013
122 WOLF TAIL CT SW, ATLANTA, GA 30349(336) 210-2957 Get Directions Write a Review

NPPES record last updated: October 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tracey Wallace NPPES

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

MRS. TRACEY WALLACE (NPI 1053748038) is an individual mental health provider in Atlanta, Georgia and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1053748038
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. TRACEY WALLACE
Location Address122 WOLF TAIL CT SWAtlanta, GA 30349-6547
Mailing Address122 Wolf Tail Ct SwAtlanta, GA 30349-6547 · (336) 210-2957
Phone(336) 210-2957
Sole ProprietorYes
Enumeration DateOctober 4, 2013
✔ NPI 1053748038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
122 WOLF TAIL CT SW, Atlanta, GA 30349
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

T & J ASSOCIATES
Community/Behavioral Health
122 WOLF TAIL CT SW
ATLANTA, GA 30349
Fulton County (323) 558-2797

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 Tracey Wallace's NPI number?

The NPI number for Tracey Wallace is 1053748038. It was assigned to this individual provider in the NPPES registry on October 4, 2013.

Where is Tracey Wallace located?

Tracey Wallace practices at 122 Wolf Tail Ct SW, Atlanta, GA 30349. The listed phone number is (336) 210-2957.

What is Tracey 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 Tracey Wallace was last updated on October 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.