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ALYCIA GRACE WALLACE
NPI 1255975801
Peer Specialist in Orange, CA

Active since November 06, 2019
401 S TUSTIN ST BLDG C, ORANGE, CA 92866(714) 361-4860(714) 361-4861 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alycia Grace Wallace NPPES

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

ALYCIA GRACE WALLACE (NPI 1255975801) is an individual peer specialist in Orange, California and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1255975801
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameALYCIA GRACE WALLACE
Location Address401 S TUSTIN ST BLDG COrange, CA 92866-2550
Mailing Address401 S Tustin St Bldg COrange, CA 92866-2550 · (714) 361-4860 · Fax (714) 361-4861
Phone(714) 361-4860
Fax(714) 361-4861
Sole ProprietorNo
Enumeration DateNovember 6, 2019
✔ NPI 1255975801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
401 S TUSTIN ST BLDG C, Orange, CA 92866
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Other Providers at the Same Location NPPES 14

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

ERIC MASAYOSHI IMOTO
Peer Specialist
401 S TUSTIN ST BLDG C
ORANGE, CA 92866
Orange County (714) 361-4860
JASMINE S RUIZ
Nutritionist (Nutrition, Education)
401 S TUSTIN ST BLDG C
ORANGE, CA 92866
Orange County (714) 361-4860
MR. BRIAN LEE GILBERT
Peer Specialist
401 S TUSTIN ST BLDG C
ORANGE, CA 92866
Orange County (714) 361-4860
ROBERT LYNN MCLACHLAN I
Peer Specialist
401 S TUSTIN ST BLDG C
ORANGE, CA 92866
Orange County (714) 361-4860
MICHELLE M ARMENTA
Peer Specialist
401 S TUSTIN ST BLDG C
ORANGE, CA 92866
Orange County (714) 361-4860
ERIC ANTHONY GREEN
Peer Specialist
401 S TUSTIN ST BLDG C
ORANGE, CA 92866
Orange County (714) 361-4860
APRIL JOY FORD BRAIN HEALTH
Health Educator
401 S TUSTIN ST BLDG C
ORANGE, CA 92866
Orange County (916) 813-0359
DAVID HAO TIEN
Peer Specialist
401 S TUSTIN ST BLDG C
ORANGE, CA 92866
Orange County (714) 361-4860

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 Alycia Wallace's NPI number?

The NPI number for Alycia Wallace is 1255975801. It was assigned to this individual provider in the NPPES registry on November 6, 2019.

Where is Alycia Wallace located?

Alycia Wallace practices at 401 S Tustin St Bldg C, Orange, CA 92866. The listed phone number is (714) 361-4860.

What is Alycia Wallace's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Alycia Wallace was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.