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MARGARET SUSAN WALLACE
NPI 1639428931
Counselor - Mental Health in Fort Wayne, IN

Active since August 31, 2012
6315 MUTUAL DR, SUITE B, FORT WAYNE, IN 46825(260) 409-8188(866) 742-8426 Get Directions Write a Review

NPPES record last updated: August 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Margaret Susan Wallace NPPES

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

MARGARET SUSAN WALLACE (NPI 1639428931) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (39002298A) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1639428931
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARGARET SUSAN WALLACE
Location Address6315 MUTUAL DR, SUITE BFort Wayne, IN 46825-4238
Mailing Address10214 Chestnut Plaza Dr, #130Fort Wayne, IN 46814-8970 · (260) 409-8188 · Fax (866) 742-8426
Phone(260) 409-8188
Fax(866) 742-8426
Sole ProprietorNo
Enumeration DateAugust 31, 2012
✔ NPI 1639428931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39002298A
6315 MUTUAL DR, Fort Wayne, IN 46825
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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 Margaret Wallace's NPI number?

The NPI number for Margaret Wallace is 1639428931. It was assigned to this individual provider in the NPPES registry on August 31, 2012.

Where is Margaret Wallace located?

Margaret Wallace practices at 6315 Mutual Dr Suite B, Fort Wayne, IN 46825. The listed phone number is (260) 409-8188.

What is Margaret Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Margaret Wallace was last updated on August 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.