MR. RANE PERRY WALLACE MS, LPC, LCDC, SAP
NPI 1205286762
Counselor - Professional in Fort Worth, TX

Q: What is Rane Wallace's NPI number?

The NPI number for Rane Wallace is 1205286762. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Q: What is Rane Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Rane Wallace was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 15, 2016

4927 BYERS AVE # 212, FORT WORTH, TX 76107(682) 232-4003 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2023, May 19, 2020, Jun 15, 2016 (3 updates tracked since 2016).

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About Mr. Rane Perry Wallace Ms, Lpc, Lcdc, Sap NPPES

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

MR. RANE PERRY WALLACE MS, LPC, LCDC, SAP (NPI 1205286762) is an individual professional provider in Fort Worth, Texas, licensed in Texas (74425) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1205286762

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. RANE PERRY WALLACECredential: MS, LPC, LCDC, SAP

Location Address4927 BYERS AVE # 212Fort Worth, TX 76107-4148

Mailing Address4927 Byers Ave # 212Fort Worth, TX 76107-4148 · (682) 232-4003

Phone(682) 232-4003

Sole ProprietorNo

Enumeration DateJune 15, 2016

Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration

NPPES CertifiedJuly 12, 2023

✔ NPI 1205286762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 74425

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 12567 (TX)

4927 BYERS AVE # 212, Fort Worth, TX 76107

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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 Rane Wallace's NPI number?

The NPI number for Rane Wallace is 1205286762. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Rane Wallace located?

Rane Wallace practices at 4927 Byers Ave # 212, Fort Worth, TX 76107. The listed phone number is (682) 232-4003.

What is Rane Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Rane Wallace was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.