TYSHAUNDRA RENEE WALLACE M.ED, LCASA, QP
NPI 1669937595
Counselor - Mental Health in High Point, NC
About Tyshaundra Renee Wallace M.ed, Lcasa, Qp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYSHAUNDRA RENEE WALLACE M.ED, LCASA, QP (NPI 1669937595) is an individual mental health provider in High Point, North Carolina, licensed in North Carolina (LCAS-25036) and active in the NPI registry since February 2019.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HIGH POINT, NC 27262
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 Tyshaundra Wallace's NPI number?
The NPI number for Tyshaundra Wallace is 1669937595. It was assigned to this individual provider in the NPPES registry on February 5, 2019.
Where is Tyshaundra Wallace located?
Tyshaundra Wallace practices at 1001 Phillips Ave, High Point, NC 27262. The listed phone number is (336) 854-2560.
What is Tyshaundra Wallace's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
What insurance does Tyshaundra Wallace accept?
Health plans from Blue Cross and Blue Shield of NC list Tyshaundra Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tyshaundra Wallace was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.
