BRANDY RAE MARIE WALLACE
NPI 1457833428
Marriage & Family Therapist in Yucca Valley, CA

Q: What is Brandy Wallace's NPI number?

The NPI number for Brandy Wallace is 1457833428. It was assigned to this individual provider in the NPPES registry on September 5, 2018.

Q: What is Brandy Wallace's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandy Wallace was last updated on September 5, 2018. 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.

Active since September 05, 2018

56970 YUCCA TRL STE 104, YUCCA VALLEY, CA 92284(760) 369-0294(760) 369-0295 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brandy Rae Marie Wallace NPPES

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

BRANDY RAE MARIE WALLACE (NPI 1457833428) is an individual marriage & family therapist in Yucca Valley, California, licensed in California (AMFT108839) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1457833428

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameBRANDY RAE MARIE WALLACE

Location Address56970 YUCCA TRL STE 104Yucca Valley, CA 92284-7911

Mailing Address2010 Bullion DrTwentynine Palms, CA 92277-5017 · (209) 380-7932

Phone(760) 369-0294

Fax(760) 369-0295

Sole ProprietorYes

Enumeration DateSeptember 5, 2018

✔ NPI 1457833428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · AMFT108839

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

56970 YUCCA TRL STE 104, Yucca Valley, CA 92284

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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 Brandy Wallace's NPI number?

The NPI number for Brandy Wallace is 1457833428. It was assigned to this individual provider in the NPPES registry on September 5, 2018.

Where is Brandy Wallace located?

Brandy Wallace practices at 56970 Yucca Trl Ste 104, Yucca Valley, CA 92284. The listed phone number is (760) 369-0294.

What is Brandy Wallace's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Brandy Wallace was last updated on September 5, 2018. 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.