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MYISHA L WALLACE
NPI 1659062891
Marriage & Family Therapist in Riverview, FL

Active since May 18, 2023
13190 ROYAL PINES AVE, RIVERVIEW, FL 33579(813) 520-0156 Get Directions Write a Review

NPPES record last updated: June 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2026, May 18, 2023 (2 updates tracked since 2023).

About Myisha L Wallace NPPES

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

MYISHA L WALLACE (NPI 1659062891) is an individual marriage & family therapist in Riverview, Florida, licensed in Florida (MT5504) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1659062891
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMYISHA L WALLACE
Location Address13190 ROYAL PINES AVERiverview, FL 33579-9321
Mailing Address7901 4th St N Ste 300St Petersburg, FL 33702-4399 · (813) 520-0156
Phone(813) 520-0156
Sole ProprietorNo
Enumeration DateMay 18, 2023
Last NPPES UpdateJune 6, 20262 updates tracked since enumeration
NPPES CertifiedJune 6, 2026
✔ NPI 1659062891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in FL · MT5504
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
13190 ROYAL PINES AVE, Riverview, FL 33579
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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 Myisha Wallace's NPI number?

The NPI number for Myisha Wallace is 1659062891. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Myisha Wallace located?

Myisha Wallace practices at 13190 Royal Pines Ave, Riverview, FL 33579. The listed phone number is (813) 520-0156.

What is Myisha Wallace's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Myisha Wallace was last updated on June 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.