MISTY LEE WALLACE
NPI 1104790625
Counselor - Mental Health in Las Vegas, NV
About Misty Lee Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISTY LEE WALLACE (NPI 1104790625) is an individual mental health provider in Las Vegas, Nevada and active in the NPI registry since September 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89117
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 Misty Wallace's NPI number?
The NPI number for Misty Wallace is 1104790625. It was assigned to this individual provider in the NPPES registry on September 30, 2025.
Where is Misty Wallace located?
Misty Wallace practices at 7040 Laredo St Ste D, Las Vegas, NV 89117. The listed phone number is (775) 237-8629.
What is Misty 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 Misty Wallace was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
