MS. ELLAH WALLACE MFTI
NPI 1740309194
Marriage & Family Therapist in Gardena, CA

Active since March 28, 2007
130 W VICTORIA ST, GARDENA, CA 90248(310) 715-2020 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Ellah Wallace Mfti NPPES

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

MS. ELLAH WALLACE MFTI (NPI 1740309194) is an individual marriage & family therapist in Gardena, California, licensed in California (IMF 46459) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1740309194
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. ELLAH WALLACECredential: MFTI
Location Address130 W VICTORIA STGardena, CA 90248-3523
Mailing Address4785 Don Miguel Dr Apt 3Los Angeles, CA 90008-4151 · (323) 362-7512
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1740309194 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 · IMF 46459
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.

130 W VICTORIA ST, Gardena, CA 90248

Other Providers at the Same Location NPPES 20

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

Counselor
130 W VICTORIA ST
GARDENA, CA 90248
Student in an Organized Health Care Education/Training Program
130 W VICTORIA ST
GARDENA, CA 90248
Marriage & Family Therapist
130 W VICTORIA ST
GARDENA, CA 90248
Social Worker (Clinical)
130 W VICTORIA ST
GARDENA, CA 90248
Counselor (Mental Health)
130 W VICTORIA ST
GARDENA, CA 90248
Counselor (Mental Health)
130 W VICTORIA ST
GARDENA, CA 90248
Occupational Therapist
130 W VICTORIA ST
GARDENA, CA 90248
Counselor (Addiction (Substance Use Disorder))
130 W VICTORIA ST
GARDENA, CA 90248

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740309194, enumerated as an "individual" on March 28, 2007.

The provider is located at 130 W VICTORIA ST GARDENA, CA 90248 and the phone number is (310) 715-2020.

Marriage & Family Therapist with taxonomy code 106H00000X.