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MR. WALLACE EDWARD BRANDIES JR. CSAC ICS
NPI 1811595671
Counselor - Addiction (Substance Use Disorder) in Racine, WI

Active since October 14, 2020
1717 TAYLOR AVE, RACINE, WI 53403(262) 638-6635(262) 638-6540 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Wallace Edward Brandies Jr. Csac Ics NPPES

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

MR. WALLACE EDWARD BRANDIES JR. CSAC ICS (NPI 1811595671) is an individual addiction (substance use disorder) provider in Racine, Wisconsin, licensed in Wisconsin (15295-132) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1811595671
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. WALLACE EDWARD BRANDIES JR.Credential: CSAC ICS
Location Address1717 TAYLOR AVERacine, WI 53403-2405
Mailing Address1717 Taylor AveRacine, WI 53403-2405 · (262) 638-6635 · Fax (262) 638-6540
Phone(262) 638-6635
Fax(262) 638-6540
Sole ProprietorNo
Enumeration DateOctober 14, 2020
NPPES CertifiedOctober 14, 2020
✔ NPI 1811595671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 15295-132
1717 TAYLOR AVE, Racine, WI 53403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health.Insurance ›

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.

MERRITT ADAMS CADCIII
Counselor (Addiction (Substance Use Disorder))
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 632-1780
DR. KELLY JEAN SMITH PH.D., LPC
Counselor (Professional)
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6771
DARREN L TAYLOR CSAC
Counselor (Addiction (Substance Use Disorder))
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6744
MR. DOMINIC D FOSTER LPC-IT, SACIT
Counselor (Mental Health)
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6744
TRACY DANIELS CSAC, LPC, ICS
Counselor (Addiction (Substance Use Disorder))
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6674
CATHERINE PEEK APSW
Counselor (Professional)
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6342
RACINE COUNTY FINANCE DEPARTMENT
Community/Behavioral Health
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6693
GINA PATOVISTI LCSW
Social Worker (Clinical)
1717 TAYLOR AVE
RACINE, WI 53403
Racine County (262) 638-6673

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 Wallace Brandies's NPI number?

The NPI number for Wallace Brandies is 1811595671. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is Wallace Brandies located?

Wallace Brandies practices at 1717 Taylor Ave, Racine, WI 53403. The listed phone number is (262) 638-6635.

What is Wallace Brandies's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Wallace Brandies accept?

Health plans from Network Health list Wallace Brandies as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wallace Brandies was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.