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DARRYL JOHN WALLACE CSC-AD
NPI 1639047343
Counselor in Baltimore, MD

Active since October 24, 2025
5900 YORK RD STE 201, BALTIMORE, MD 21212(443) 563-1021(443) 869-3749 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Darryl John Wallace Csc-ad NPPES

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

DARRYL JOHN WALLACE CSC-AD (NPI 1639047343) is an individual counselor in Baltimore, Maryland, licensed in Maryland (SC3481) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1639047343
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDARRYL JOHN WALLACECredential: CSC-AD
Location Address5900 YORK RD STE 201Baltimore, MD 21212-3097
Mailing Address5900 York Rd Ste 201Baltimore, MD 21212-3097
Phone(443) 563-1021
Fax(443) 869-3749
Sole ProprietorYes
Enumeration DateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1639047343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MD · SC3481
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5900 YORK RD STE 201, Baltimore, MD 21212
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Other Providers at the Same Location NPPES 5

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

MARYLAND BEHAVIORAL HEALTH CARE LLC
Community/Behavioral Health
5900 YORK RD STE 201
BALTIMORE, MD 21212
Baltimore City (410) 949-9755
EVERYTHING MUST CHANGE BEHAVIORAL HEALTH
Clinic/Center (Rehabilitation, Substance Use Disorder)
5900 YORK RD STE 201
BALTIMORE, MD 21212
Baltimore City (443) 552-7589
IRIS EMILY FORTUNE LCSWC
Social Worker (Clinical)
5900 YORK RD STE 201
BALTIMORE, MD 21212
Baltimore City (443) 563-1021
MARYLAND BEHAVIORAL HEALTH CARE LLC
Community/Behavioral Health
5900 YORK RD STE 201
BALTIMORE, MD 21212
Baltimore City (443) 759-7597
MARYLAND BEHAVIORAL HEALTH CARE LLC
Community/Behavioral Health
5900 YORK RD STE 201
BALTIMORE, MD 21212
Baltimore City (443) 961-3740

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 Darryl Wallace's NPI number?

The NPI number for Darryl Wallace is 1639047343. It was assigned to this individual provider in the NPPES registry on October 24, 2025.

Where is Darryl Wallace located?

Darryl Wallace practices at 5900 York Rd Ste 201, Baltimore, MD 21212. The listed phone number is (443) 563-1021.

What is Darryl Wallace's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Darryl Wallace was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.