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CALVIN RAINFORD WALLACE
NPI 1316810385
Counselor - Mental Health in Greenbelt, MD

Active since September 25, 2025
6500 LAKE PARK DR APT 103, GREENBELT, MD 20770(240) 535-3066 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Calvin Rainford Wallace NPPES

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

CALVIN RAINFORD WALLACE (NPI 1316810385) is an individual mental health provider in Greenbelt, Maryland, licensed in Maryland (LC15390) and active in the NPI registry since September 2025.Information from the official NPPES registry record, last updated September 25, 2025.

NPPES Registry Identity

NPI1316810385
Entity TypeIndividualMale
Provider Legal NameCALVIN RAINFORD WALLACE
Location Address6500 LAKE PARK DR APT 103Greenbelt, MD 20770-7001
Mailing Address6500 Lake Park Dr Apt 103Greenbelt, MD 20770-7001 · (240) 535-3066
Phone(240) 535-3066
Sole ProprietorYes
Enumeration DateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1316810385 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Counselor · Mental Health

Taxonomy 101YM0800X · Behavioral Health & Social Service Providers

✔ Licensed in MD · LC15390
6500 LAKE PARK DR APT 103, Greenbelt, MD 20770
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Also on File with NPPES

Group Practice1
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X SINGLE SPECIALTY GROUP)

Reviews for CALVIN RAINFORD WALLACE

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Frequently Asked Questions

What is Calvin Wallace's NPI number?

The NPI number assigned to this healthcare provider is 1316810385, enumerated as an "individual" on September 25, 2025.

Where is the provider located?

The provider is located at 6500 LAKE PARK DR APT 103 GREENBELT, MD 20770 and the phone number is (240) 535-3066.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.