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CAROLINE SHERIDAN WALLACE AMFT
NPI 1700662210
Marriage & Family Therapist in Los Angeles, CA

Active since August 31, 2023
2820 GLENDALE BLVD STE 6, LOS ANGELES, CA 90039(503) 851-0413 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Caroline Sheridan Wallace Amft NPPES

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

CAROLINE SHERIDAN WALLACE AMFT (NPI 1700662210) is an individual marriage & family therapist in Los Angeles, California, licensed in California (AMFT133068) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1700662210
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCAROLINE SHERIDAN WALLACECredential: AMFT
Location Address2820 GLENDALE BLVD STE 6Los Angeles, CA 90039-2723
Mailing Address4211 Cromwell AveLos Angeles, CA 90027 · (503) 851-0413
Phone(503) 851-0413
Sole ProprietorYes
Enumeration DateAugust 31, 2023
NPPES CertifiedAugust 31, 2023
✔ NPI 1700662210 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 · AMFT133068
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.
2820 GLENDALE BLVD STE 6, Los Angeles, CA 90039
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN STACHOWIAK LMFT
Marriage & Family Therapist
2820 GLENDALE BLVD STE 6
LOS ANGELES, CA 90039
Los Angeles County (213) 770-0820
DR. SHANNON CARTER PSYD
Psychologist
2820 GLENDALE BLVD STE 6
LOS ANGELES, CA 90039
Los Angeles County (323) 459-9642

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 Caroline Wallace's NPI number?

The NPI number for Caroline Wallace is 1700662210. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Where is Caroline Wallace located?

Caroline Wallace practices at 2820 Glendale Blvd Ste 6, Los Angeles, CA 90039. The listed phone number is (503) 851-0413.

What is Caroline 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 Caroline Wallace was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.