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TRACY WALLACE LGPC
NPI 1366229874
Counselor - Professional in Lutherville Timonium, MD

Active since September 11, 2023
9475 DEERECO RD STE 410, LUTHERVILLE TIMONIUM, MD 21093(410) 560-6135(410) 560-6136 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracy Wallace Lgpc NPPES

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

TRACY WALLACE LGPC (NPI 1366229874) is an individual professional provider in Lutherville Timonium, Maryland, licensed in Maryland (LGP14259) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1366229874
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTRACY WALLACECredential: LGPC
Location Address9475 DEERECO RD STE 410Lutherville Timonium, MD 21093-2124
Mailing Address9475 Deereco Rd Ste 410Lutherville Timonium, MD 21093-2124 · (410) 560-6135 · Fax (410) 560-6136
Phone(410) 560-6135
Fax(410) 560-6136
Sole ProprietorNo
Enumeration DateSeptember 11, 2023
NPPES CertifiedSeptember 10, 2023
✔ NPI 1366229874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LGP14259
9475 DEERECO RD STE 410, Lutherville Timonium, MD 21093
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Other Providers at the Same Location NPPES 18

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

MS. CHLOE RING MS
Counselor (Mental Health)
9475 DEERECO RD STE 410
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (410) 560-6135
CORE COUNSELING SERVICES CO
Clinic/Center (Mental Health (Including Community Mental Health Center))
9475 DEERECO RD STE 410
TIMONIUM, MD 21093
Baltimore County (410) 560-6135
ABIGAIL MCDONOUGH LMSW
Counselor (Mental Health)
9475 DEERECO RD STE 410
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (410) 560-6135
ANDREW THOMAS DONELAN LCSW-C
Social Worker (Clinical)
9475 DEERECO RD STE 410
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (410) 560-6135
MISS SHELBY LYNN BRUGGEMAN MA
Counselor
9475 DEERECO RD STE 410
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (410) 560-6135
MS. ELIZABETH BARRETT LGPC
Counselor (Mental Health)
9475 DEERECO RD STE 410
TIMONIUM, MD 21093
Baltimore County (410) 560-6135
CARIN KIRIKOS LCSW-C
Social Worker (Clinical)
9475 DEERECO RD STE 410
TIMONIUM, MD 21093
Baltimore County (410) 560-6135
KIRISTEN LEIGH DRAUGHN MPS
Counselor
9475 DEERECO RD STE 410
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (410) 560-6135

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 Tracy Wallace's NPI number?

The NPI number for Tracy Wallace is 1366229874. It was assigned to this individual provider in the NPPES registry on September 11, 2023.

Where is Tracy Wallace located?

Tracy Wallace practices at 9475 Deereco Rd Ste 410, Lutherville Timonium, MD 21093. The listed phone number is (410) 560-6135.

What is Tracy 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 Tracy Wallace was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.