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DONNA WALLACE
NPI 1639558471
Counselor - Mental Health in Fort Pierce, FL

Active since May 26, 2015
2814 S US HIGHWAY 1, SUITE D-4, FORT PIERCE, FL 34982(772) 501-3057 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donna Wallace NPPES

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

DONNA WALLACE (NPI 1639558471) is an individual mental health provider in Fort Pierce, Florida and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1639558471
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDONNA WALLACE
Location Address2814 S US HIGHWAY 1, SUITE D-4Fort Pierce, FL 34982-8120
Mailing Address567 Nw Lake Whitney Pl Ste 101Port St Lucie, FL 34986-1629
Phone(772) 501-3057
Sole ProprietorYes
Enumeration DateMay 26, 2015
Last NPPES UpdateMarch 19, 2019
✔ NPI 1639558471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2814 S US HIGHWAY 1, Fort Pierce, FL 34982
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Other Providers at the Same Location NPPES 20

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

MS. CHIQUITA LYNN WELLS M.A.
Counselor (Mental Health)
2814 S US HIGHWAY 1, SUITE D4
FORT PIERCE, FL 34982
St. Lucie County (904) 625-2307
ELAINE MARIE DOHMEN
Social Worker (Clinical)
2814 S US HIGHWAY 1, SUITE D4
FORT PIERCE, FL 34982
St. Lucie County (772) 221-8585
PHERNYA TEAGUE
Counselor (Professional)
2814 S US HIGHWAY 1, SUITE D-4
FORT PIERCE, FL 34982
St. Lucie County (469) 398-9708
JENNIFER DE LA ROSA MA
Counselor (Mental Health)
2814 S US HIGHWAY 1, D4
FORT PIERCE, FL 34982
St. Lucie County (772) 489-4726
MARIA PEREZ-GRULLON
Counselor (Mental Health)
2814 S US HIGHWAY 1, SUITE D4
FORT PIERCE, FL 34982
St. Lucie County (305) 244-8033
TANEISHA THOMAS
Social Worker
2814 S US HIGHWAY 1, SUITE D4
FORT PIERCE, FL 34982
St. Lucie County (772) 489-4726
LATASHIA GOLDEN
Social Worker
2814 S US HIGHWAY 1, SUITE D4
FORT PIERCE, FL 34982
St. Lucie County (772) 489-4726
PATRICIA LICETH AUZENNE LCSW MCAP QS
Social Worker (Clinical)
2814 S US HIGHWAY 1, SUITE D4
FORT PIERCE, FL 34982
St. Lucie County (772) 489-4726

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 Donna Wallace's NPI number?

The NPI number for Donna Wallace is 1639558471. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Donna Wallace located?

Donna Wallace practices at 2814 S Us Highway 1 Suite D-4, Fort Pierce, FL 34982. The listed phone number is (772) 501-3057.

What is Donna 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 Donna Wallace was last updated on March 19, 2019. 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.