MIATA QUINTAE WALLACE MS
NPI 1710855838
Counselor in Chesapeake, VA

Q: What is Miata Wallace's NPI number?

The NPI number for Miata Wallace is 1710855838. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Q: What is Miata Wallace's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Miata Wallace was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 29, 2025

1524 VOLVO PKWY STE B, CHESAPEAKE, VA 23320(757) 404-5355 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Miata Quintae Wallace Ms NPPES

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

MIATA QUINTAE WALLACE MS (NPI 1710855838) is an individual counselor in Chesapeake, Virginia and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1710855838

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMIATA QUINTAE WALLACECredential: MS

Location Address1524 VOLVO PKWY STE BChesapeake, VA 23320-1516

Mailing Address957 Duck Pond Dr Apt 301Virginia Beach, VA 23464-3340 · (757) 910-9351

Phone(757) 404-5355

Sole ProprietorNo

Enumeration DateOctober 29, 2025

NPPES CertifiedOctober 29, 2025

✔ NPI 1710855838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1524 VOLVO PKWY STE B, Chesapeake, VA 23320

Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

CLAIRESE SMITH

Counselor

1524 VOLVO PKWY STE B
CHESAPEAKE, VA 23320

Chesapeake City (757) 404-5355

HARMONY & WELLNESS HEALTH PLLC

Counselor (Professional)

1524 VOLVO PKWY STE B
CHESAPEAKE, VA 23320

Chesapeake City (757) 404-5355

MAKAYLA DANIELLE BROWN M.ED LPC-R

Counselor (Mental Health)

1524 VOLVO PKWY STE B
CHESAPEAKE, VA 23320

Chesapeake City (757) 404-5355

NAVARRO PULLEY

Counselor (Professional)

1524 VOLVO PKWY STE B
CHESAPEAKE, VA 23320

Chesapeake City (757) 404-5355

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 Miata Wallace's NPI number?

The NPI number for Miata Wallace is 1710855838. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Where is Miata Wallace located?

Miata Wallace practices at 1524 Volvo Pkwy Ste B, Chesapeake, VA 23320. The listed phone number is (757) 404-5355.

What is Miata Wallace's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Miata Wallace was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.