1. Home
  2. Directory
  3. Michigan
  4. Port Huron
  5. Counselor
  6. NPI Profile

MRS. ANGELA M WALLACE LLPC
NPI 1750884631
Counselor - Professional in Port Huron, MI

Active since March 16, 2018
500 10TH ST, PORT HURON, MI 48060(800) 395-3223 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 2, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Mrs. Angela M Wallace Llpc NPPES

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

MRS. ANGELA M WALLACE LLPC (NPI 1750884631) is an individual professional provider in Port Huron, Michigan, licensed in Michigan (6401016486) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1750884631
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ANGELA M WALLACECredential: LLPC
Location Address500 10TH STPort Huron, MI 48060-4477
Mailing Address6549 Town Center Dr Ste AClarkston, MI 48346-4824 · (800) 395-3223
Phone(800) 395-3223
Sole ProprietorYes
Enumeration DateMarch 16, 2018
Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
✔ NPI 1750884631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401016486
500 10TH ST, Port Huron, MI 48060
Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

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

MRS. BRITTANY TAYLOR BORGES PMHNP-DNP
Nurse Practitioner
500 10TH ST
PORT HURON, MI 48060
St. Clair County (800) 395-3223
CHRISTINA M PETZEL LPC
Counselor (Professional)
500 10TH ST
PORT HURON, MI 48060
St. Clair County (800) 395-3223
NORA E. AVERS
Counselor (Professional)
500 10TH ST
PORT HURON, MI 48060
St. Clair County (810) 357-0760
ANGELA PARMANN BS
Technician, Other
500 10TH ST
PORT HURON, MI 48060
St. Clair County (800) 395-3223
JULIE VICTORIA PARMANN
Technician, Other
500 10TH ST
PORT HURON, MI 48060
St. Clair County (800) 395-3223
HEATHER HUGHES MS
Technician, Other
500 10TH ST
PORT HURON, MI 48060
St. Clair County (800) 395-3223
RUSMIRA BEKTAS LLPC
Counselor (Professional)
500 10TH ST
PORT HURON, MI 48060
St. Clair County (801) 357-0760
ERICA BAZYDLO RN
Registered Nurse
500 10TH ST
PORT HURON, MI 48060
St. Clair County (800) 395-3223

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 Angela Wallace's NPI number?

The NPI number for Angela Wallace is 1750884631. It was assigned to this individual provider in the NPPES registry on March 16, 2018.

Where is Angela Wallace located?

Angela Wallace practices at 500 10th St, Port Huron, MI 48060. The listed phone number is (800) 395-3223.

What is Angela Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Angela Wallace was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.