MR. BRADLEY WALLACE LMHC
NPI 1174372767
Counselor - Mental Health in Boston, MA
About Mr. Bradley Wallace Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BRADLEY WALLACE LMHC (NPI 1174372767) is an individual mental health provider in Boston, Massachusetts and active in the NPI registry since May 2024.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bradley Wallace's NPI number?
The NPI number for Bradley Wallace is 1174372767. It was assigned to this individual provider in the NPPES registry on May 15, 2024.
Where is Bradley Wallace located?
Bradley Wallace practices at 266 Beacon St Ste 4, Boston, MA 02116. The listed phone number is (617) 970-8580.
What is Bradley 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 Bradley Wallace was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
