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ERIC CLINTON WALLACE
NPI 1366955585
Counselor - Addiction (Substance Use Disorder) in West Union, OH

Active since November 09, 2017
247 CIC BLVD, WEST UNION, OH 45693(513) 941-4999(513) 694-0168 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2023, Feb 24, 2022, Nov 9, 2017 (3 updates tracked since 2017).

About Eric Clinton Wallace NPPES

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

ERIC CLINTON WALLACE (NPI 1366955585) is an individual addiction (substance use disorder) provider in West Union, Ohio, licensed in Ohio (CDCA.168404) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1366955585
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameERIC CLINTON WALLACE
Location Address247 CIC BLVDWest Union, OH 45693-7512
Mailing Address6460 Harrison Ave Ste 200Cincinnati, OH 45247-7958 · (513) 941-4999 · Fax (513) 694-0168
Phone(513) 941-4999
Fax(513) 694-0168
Sole ProprietorYes
Enumeration DateNovember 9, 2017
Last NPPES UpdateMay 26, 20233 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
✔ NPI 1366955585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in OH · CDCA.168404✔ Licensed in OH · CDCA.164839
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License QMHS (OH)
247 CIC BLVD, West Union, OH 45693
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Other Identifiers 1

Medicaid0273638OH

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.

CHRISTINA LYNN JEFFERY
Counselor (Addiction (Substance Use Disorder))
247 CIC BLVD
WEST UNION, OH 45693
Adams County (513) 941-4999
SAMANTHA PAIGE TUMEY LPN
Licensed Practical Nurse
247 CIC BLVD
WEST UNION, OH 45693
Adams County (513) 941-4999
MICHAEL MAHON
Counselor (Addiction (Substance Use Disorder))
247 CIC BLVD
WEST UNION, OH 45693
Adams County (513) 941-4999
JOHN MICHAEL FARRELL CDCA PRELIMINARY
Counselor (Addiction (Substance Use Disorder))
247 CIC BLVD
WEST UNION, OH 45693
Adams County (937) 660-3400
AMANDA GAIL WALLACE
Nurse Practitioner (Family)
247 CIC BLVD
WEST UNION, OH 45693
Adams County (513) 941-4999
SUNRISE TREATMENT CENTER, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
247 CIC BLVD
WEST UNION, OH 45693
Adams County (513) 941-4999
HEATHER ANN SAYLOR
Counselor (Addiction (Substance Use Disorder))
247 CIC BLVD
WEST UNION, OH 45693
Adams County (513) 941-4999
WILLIAM BOYD THOMAS SWEET
Counselor (Addiction (Substance Use Disorder))
247 CIC BLVD
WEST UNION, OH 45693
Adams County (513) 941-4999

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 Eric Wallace's NPI number?

The NPI number for Eric Wallace is 1366955585. It was assigned to this individual provider in the NPPES registry on November 9, 2017.

Where is Eric Wallace located?

Eric Wallace practices at 247 Cic Blvd, West Union, OH 45693. The listed phone number is (513) 941-4999.

What is Eric Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Eric Wallace was last updated on May 26, 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.