TARKISHA WALLACE LPC-S, NCC
NPI 1407233505
Counselor - Professional in Bossier City, LA

Active since April 28, 2015
1000 CHINABERRY DR STE 902, BOSSIER CITY, LA 71111(318) 742-3408 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 6, 2019, Mar 14, 2019 (2 updates tracked since 2019).

About Tarkisha Wallace Lpc-s, Ncc NPPES

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

TARKISHA WALLACE LPC-S, NCC (NPI 1407233505) is an individual professional provider in Bossier City, Louisiana, licensed in Louisiana (4405) and active in the NPI registry since April 2015. She maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1407233505
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTARKISHA WALLACECredential: LPC-S, NCC
Location Address1000 CHINABERRY DR STE 902Bossier City, LA 71111-2455
Mailing Address1000 Chinaberry Dr Ste 902Bossier City, LA 71111-2455 · (318) 742-3408
Sole ProprietorNo
Enumeration DateApril 28, 2015
Last NPPES UpdateSeptember 6, 20192 updates tracked since enumeration
NPI 1407233505 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 LA · 4405
1000 CHINABERRY DR STE 902, Bossier City, LA 71111

Secondary Practice Location 1

Location 11443 Delplaza Dr Ste 14Baton Rouge, LA 70815-4169 · Phone (225) 610-2643

Accepted Insurance

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 Tarkisha Wallace's NPI number?

The NPI number for Tarkisha Wallace is 1407233505. It was assigned to this individual provider in the NPPES registry on April 28, 2015.

Where is Tarkisha Wallace located?

Tarkisha Wallace practices at 1000 Chinaberry Dr Ste 902, Bossier City, LA 71111. The listed phone number is (318) 742-3408.

What is Tarkisha Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Tarkisha Wallace accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Tarkisha Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tarkisha Wallace was last updated on September 6, 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.