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WALLACE PLACE IN THE PINES
NPI 1194382374
Community Based Residential Treatment Facility, Mental Illness in Livingston, TX

Active since May 23, 2019
1706 DAVIS AVE, LIVINGSTON, TX 77351(936) 223-4542 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2019, May 23, 2019 (2 updates tracked since 2019).

About Wallace Place In The Pines NPPES

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

WALLACE PLACE IN THE PINES (NPI 1194382374) is a healthcare organization registered as a community based residential treatment facility, mental illness in Livingston, Texas and active in the NPI registry since May 2019. The organization lists Barbara Ann Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1194382374
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameWALLACE PLACE IN THE PINES
Location Address1706 DAVIS AVELivingston, TX 77351-2004
Mailing Address1706 Davis AveLivingston, TX 77351-2004 · (936) 223-4542
Phone(936) 223-4542
Organization SubpartNo
Authorized OfficialBarbara Ann WallaceOwner · (936) 662-5617
Enumeration DateMay 23, 2019
Last NPPES UpdateJune 4, 20192 updates tracked since enumeration
✔ NPI 1194382374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedPoetry TherapistTaxonomy 102X00000X
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
1706 DAVIS AVE, Livingston, TX 77351
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Other Names 1

Former Legal Business NameWallace Place In The Pines

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Wallace Place In The Pines's NPI number?

The NPI number for Wallace Place In The Pines is 1194382374. It was assigned to this organization in the NPPES registry on May 23, 2019.

Where is Wallace Place In The Pines located?

Wallace Place In The Pines is located at 1706 Davis Ave, Livingston, TX 77351. The listed phone number is (936) 223-4542.

What is Wallace Place In The Pines's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Wallace Place In The Pines was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.