1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Counselor
  6. NPI Profile

SHANTHALITTA SEALS WALLACE LMHC
NPI 1659848539
Counselor - Mental Health in Jacksonville, FL

Active since October 29, 2018
9617 WATERSHED DR E, JACKSONVILLE, FL 32220(860) 496-0909 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shanthalitta Seals Wallace Lmhc NPPES

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

SHANTHALITTA SEALS WALLACE LMHC (NPI 1659848539) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH15387) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1659848539
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANTHALITTA SEALS WALLACECredential: LMHC
Location Address9617 WATERSHED DR EJacksonville, FL 32220-0906
Mailing Address9617 Watershed Dr EJacksonville, FL 32220-0906
Phone(860) 496-0909
Sole ProprietorYes
Enumeration DateOctober 29, 2018
✔ NPI 1659848539 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 FL · MH15387
9617 WATERSHED DR E, Jacksonville, FL 32220
Open in Google Maps ↗

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 Shanthalitta Wallace's NPI number?

The NPI number for Shanthalitta Wallace is 1659848539. It was assigned to this individual provider in the NPPES registry on October 29, 2018.

Where is Shanthalitta Wallace located?

Shanthalitta Wallace practices at 9617 Watershed Dr E, Jacksonville, FL 32220. The listed phone number is (860) 496-0909.

What is Shanthalitta 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 Shanthalitta Wallace was last updated on October 29, 2018. 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.