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LILA ANANDA WALLACE LMFT
NPI 1679863674
Marriage & Family Therapist in Fairfield, IA

Active since April 11, 2011
306 W ADAMS AVE, FAIRFIELD, IA 52556(641) 455-9630 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2025, Jan 28, 2020, Jun 15, 2017 (3 updates tracked since 2017).

About Lila Ananda Wallace Lmft NPPES

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

LILA ANANDA WALLACE LMFT (NPI 1679863674) is an individual marriage & family therapist in Fairfield, Iowa, licensed in California (94538) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1679863674
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLILA ANANDA WALLACECredential: LMFT
Location Address306 W ADAMS AVEFairfield, IA 52556-3314
Mailing Address306 W Adams AveFairfield, IA 52556-3314 · (641) 455-9630
Phone(641) 455-9630
Sole ProprietorYes
Enumeration DateApril 11, 2011
Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1679863674 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 CA · 94538
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.
306 W ADAMS AVE, Fairfield, IA 52556
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Other Names 1

Former Name (1)Lila Ananda Braida

Other Identifiers 1

Other94538CA · Mft License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Lila Wallace's NPI number?

The NPI number for Lila Wallace is 1679863674. It was assigned to this individual provider in the NPPES registry on April 11, 2011. The provider is also known as Lila Ananda Braida.

Where is Lila Wallace located?

Lila Wallace practices at 306 W Adams Ave, Fairfield, IA 52556. The listed phone number is (641) 455-9630.

What is Lila Wallace's specialty?

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

What insurance does Lila Wallace accept?

Health plans from Providence Health Plan list Lila 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 Lila Wallace was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.