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MRS. GJAUDY N JOHN-WALLACE
NPI 1083569909
Counselor - Mental Health in Annandale, VA

Active since March 04, 2026
5105Q BACKLICK RD, ANNANDALE, VA 22003(703) 997-2737 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Gjaudy N John-wallace NPPES

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

MRS. GJAUDY N JOHN-WALLACE (NPI 1083569909) is an individual mental health provider in Annandale, Virginia, licensed in Virginia (070416920) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1083569909
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. GJAUDY N JOHN-WALLACE
Location Address5105Q BACKLICK RDAnnandale, VA 22003-6072
Mailing Address5105q Backlick RdAnnandale, VA 22003-6072
Phone(703) 997-2737
Sole ProprietorYes
Enumeration DateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1083569909 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 VA · 070416920
5105Q BACKLICK RD, Annandale, VA 22003
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MONICA HAYWARD
Clinic/Center (Adult Mental Health)
5105Q BACKLICK RD
ANNANDALE, VA 22003
Fairfax County (703) 232-0874
HARRISON HOUSE, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
5105Q BACKLICK RD
ANNANDALE, VA 22003
Fairfax County (703) 256-6474
BRITTANIE LAYFIELD
Counselor (Mental Health)
5105Q BACKLICK RD
ANNANDALE, VA 22003
Fairfax County (703) 997-2655
COREY ISAIAH PURNELL CSAC SUPERVISEE
Counselor (Addiction (Substance Use Disorder))
5105Q BACKLICK RD
ANNANDALE, VA 22003
Fairfax County (571) 517-2430

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 Gjaudy John-wallace's NPI number?

The NPI number for Gjaudy John-wallace is 1083569909. It was assigned to this individual provider in the NPPES registry on March 4, 2026.

Where is Gjaudy John-wallace located?

Gjaudy John-wallace practices at 5105Q Backlick Rd, Annandale, VA 22003. The listed phone number is (703) 997-2737.

What is Gjaudy John-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 Gjaudy John-wallace was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.