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STEPHANIE WALLACE LMFT
NPI 1750988127
Marriage & Family Therapist in San Diego, CA

Active since October 07, 2020
409 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108(858) 215-4920 Get Directions Write a Review

NPPES record last updated: March 23, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 23, 2025, Oct 7, 2020 (2 updates tracked since 2020).

About Stephanie Wallace Lmft NPPES

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

STEPHANIE WALLACE LMFT (NPI 1750988127) is an individual marriage & family therapist in San Diego, California, licensed in California (143378) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1750988127
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSTEPHANIE WALLACECredential: LMFT
Location Address409 CAMINO DEL RIO S STE 300San Diego, CA 92108-3507
Mailing Address8442 Via Sonoma Unit 81La Jolla, CA 92037-2725 · (303) 590-8221
Phone(858) 215-4920
Sole ProprietorYes
Enumeration DateOctober 7, 2020
Last NPPES UpdateMarch 23, 20252 updates tracked since enumeration
NPPES CertifiedMarch 23, 2025
✔ NPI 1750988127 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 · 143378
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.
409 CAMINO DEL RIO S STE 300, San Diego, CA 92108
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Other Identifiers 1

Medicaid106H00000XCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Stephanie Wallace's NPI number?

The NPI number for Stephanie Wallace is 1750988127. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Where is Stephanie Wallace located?

Stephanie Wallace practices at 409 Camino Del Rio S Ste 300, San Diego, CA 92108. The listed phone number is (858) 215-4920.

What is Stephanie 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 Stephanie Wallace was last updated on March 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.