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RAYCHELLE SHERYL WALLACE
NPI 1609464098
Counselor - Mental Health in Brandon, FL

Active since January 02, 2021
673 W LUMSDEN RD, BRANDON, FL 33511(813) 798-0800(813) 798-7800 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2023, Jan 2, 2021 (2 updates tracked since 2021).

About Raychelle Sheryl Wallace NPPES

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

RAYCHELLE SHERYL WALLACE (NPI 1609464098) is an individual mental health provider in Brandon, Florida, licensed in Florida (MH19813) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1609464098
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRAYCHELLE SHERYL WALLACE
Location Address673 W LUMSDEN RDBrandon, FL 33511-5911
Mailing Address11705 Boyette Rd, Pmb 430Riverview, FL 33569 · (813) 798-0800
Phone(813) 798-0800
Fax(813) 798-7800
Sole ProprietorYes
Enumeration DateJanuary 2, 2021
Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration
NPPES CertifiedAugust 12, 2023
✔ NPI 1609464098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH19813
Also ListedCase ManagementTaxonomy 251B00000X · License IMH18337 (FL)
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License IMH18337 (FL)
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License IMH18337 (FL)
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License IMH18337 (FL)
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License IMH18337 (FL)
673 W LUMSDEN RD, Brandon, FL 33511
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

ASSURED MENTAL & PHYSICAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
673 W LUMSDEN RD
BRANDON, FL 33511
Hillsborough County (813) 797-6174
SANDTRAIL FEET APRN
Nurse Practitioner (Psychiatric/Mental Health)
673 W LUMSDEN RD
BRANDON, FL 33511
Hillsborough County (813) 797-6174

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 Raychelle Wallace's NPI number?

The NPI number for Raychelle Wallace is 1609464098. It was assigned to this individual provider in the NPPES registry on January 2, 2021.

Where is Raychelle Wallace located?

Raychelle Wallace practices at 673 W Lumsden Rd, Brandon, FL 33511. The listed phone number is (813) 798-0800.

What is Raychelle Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Raychelle Wallace accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Raychelle 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 Raychelle Wallace was last updated on August 14, 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.