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MR. DARRELL DEWAYNE WALLACE JR. LGPC
NPI 1265086367
Counselor - Mental Health in Baltimore, MD

Active since July 26, 2019
107 E 25TH ST, BALTIMORE, MD 21218(410) 558-0019 Get Directions Write a Review

NPPES record last updated: July 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Darrell Dewayne Wallace Jr. Lgpc NPPES

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

MR. DARRELL DEWAYNE WALLACE JR. LGPC (NPI 1265086367) is an individual mental health provider in Baltimore, Maryland, licensed in Maryland (LGP9687) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1265086367
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DARRELL DEWAYNE WALLACE JR.Credential: LGPC
Location Address107 E 25TH STBaltimore, MD 21218-5213
Mailing Address553 Marc Rd # AMillersville, MD 21108-1525 · (443) 694-7554
Phone(410) 558-0019
Sole ProprietorYes
Enumeration DateJuly 26, 2019
✔ NPI 1265086367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LGP9687
107 E 25TH ST, Baltimore, MD 21218
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Other Providers at the Same Location NPPES 20

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

ALL WALKS OF LIFE, LLC
Community/Behavioral Health
107 E 25TH ST
BALTIMORE, MD 21218
Baltimore City (410) 558-0019
SHAYLA ARRINGTON
Social Worker
107 E 25TH ST
BALTIMORE, MD 21218
Baltimore City (410) 558-0032
MS. KEYAUNTA VANESSA MURRAY LMSW
Social Worker
107 E 25TH ST
BALTIMORE, MD 21218
Baltimore City (410) 558-0019
WILHELMINA ANGELA DAVIS LMSW
Social Worker (Clinical)
107 E 25TH ST
BALTIMORE, MD 21218
Baltimore City (240) 444-6666
BRIANNA LEE BRYANT LMSW
Social Worker
107 E 25TH ST
BALTIMORE, MD 21218
Baltimore City (410) 558-0032
SHENIKA KEYERA SLEDGE LCSW-C
Social Worker (Clinical)
107 E 25TH ST
BALTIMORE, MD 21218
Baltimore City (240) 432-8509
DENNIS NYABENI BARARE
Social Worker (School)
107 E 25TH ST
BALTIMORE, MD 21218
Baltimore City (410) 558-0019
ALL WALKS OF LIFE, LLC
Community/Behavioral Health
107 E 25TH ST
BALTIMORE, MD 21218
Baltimore City (410) 558-0019

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 Darrell Wallace's NPI number?

The NPI number for Darrell Wallace is 1265086367. It was assigned to this individual provider in the NPPES registry on July 26, 2019.

Where is Darrell Wallace located?

Darrell Wallace practices at 107 E 25th St, Baltimore, MD 21218. The listed phone number is (410) 558-0019.

What is Darrell 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 Darrell Wallace was last updated on July 26, 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.