SHANTHALITTA SEALS WALLACE LMHC
NPI 1659848539
Counselor - Mental Health in Jacksonville, FL
- Individual
- Female
- Counselor
- Mental Health
About SHANTHALITTA WALLACE
This page provides the complete NPI Profile along with additional information for Shanthalitta Wallace, a provider established in Jacksonville, Florida with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1659848539 assigned on October 2018. The practitioner's primary taxonomy code is 101YM0800X with license number MH15387 (FL). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1659848539 Verify this NPI
- Provider Name
- SHANTHALITTA SEALS WALLACE LMHC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9617 WATERSHED DR E JACKSONVILLE, FL 32220
- Location Phone
- (860) 496-0909
- Mailing Address
- 9617 WATERSHED DR E JACKSONVILLE, FL 32220
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-29-2018
- Last Update Date
- 10-29-2018
- Code Navigator
A mental health counselor like Shanthalitta Wallace provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- MH15387
- License State
- FL
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659848539, enumerated as an "individual" on October 29, 2018.
The provider is located at 9617 WATERSHED DR E JACKSONVILLE, FL 32220 and the phone number is (860) 496-0909.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
