MRS. LETITIA J WALLACE PMHNP-BC
NPI 1619353224
Nurse Practitioner - Psychiatric/Mental Health in Richmond, VA
About Mrs. Letitia J Wallace Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LETITIA J WALLACE PMHNP-BC (NPI 1619353224) is an individual psychiatric/mental health provider in Richmond, Virginia, licensed in Virginia (0024193187) and active in the NPI registry since August 2015. She maintains a secondary practice location in Petersburg.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RICHMOND, VA 23294
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 Letitia Wallace's NPI number?
The NPI number for Letitia Wallace is 1619353224. It was assigned to this individual provider in the NPPES registry on August 5, 2015.
Where is Letitia Wallace located?
Letitia Wallace practices at 8401 Mayland Dr # 5766, Richmond, VA 23294. The listed phone number is (804) 635-6535.
What is Letitia Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
When was this NPI record last updated?
The NPPES record for Letitia Wallace was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Mrs. Letitia J Wallace, PMHNP-BC · NPI 1619353224
Psychiatric/Mental Health physician in Richmond, Virginia. Individual provider, active in the CMS NPPES registry since August 5, 2015.
## Identity
- **NPI:** 1619353224 (Entity type: Individual)
- **Enumerated:** August 5, 2015
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0024193187 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8401 MAYLAND DR # 5766, Richmond, VA 23294-4648
- **Phone:** (804) 635-6535
## Record status
- **NPPES last updated:** June 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619353224) · Data from the CMS NPPES public registry.