PROF. KERRY L WALLACE LMHC, NCC
NPI 1841234101
Counselor - Mental Health in Casselberry, FL

Active since June 16, 2006
661 SEMINOLA BLVD, CASSELBERRY, FL 32707(407) 333-0254(407) 333-1231 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prof. Kerry L Wallace Lmhc, Ncc NPPES

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

PROF. KERRY L WALLACE LMHC, NCC (NPI 1841234101) is an individual mental health provider in Casselberry, Florida, licensed in Florida (MH 5283) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1841234101
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePROF. KERRY L WALLACECredential: LMHC, NCC
Location Address661 SEMINOLA BLVDCasselberry, FL 32707-3057
Mailing Address1841 Crowley Cir ELongwood, FL 32779-7016 · (407) 333-0254 · Fax (407) 333-1231
Fax(407) 333-1231
Sole ProprietorYes
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1841234101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH 5283
661 SEMINOLA BLVD, Casselberry, FL 32707

Other Providers at the Same Location NPPES 16

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

Counselor (Mental Health)
661 SEMINOLA BLVD
CASSELBERRY, FL 32707
Counselor (Mental Health)
661 SEMINOLA BLVD
CASSELBERRY, FL 32707
Counselor
661 SEMINOLA BLVD
CASSELBERRY, FL 32707
Marriage & Family Therapist
661 SEMINOLA BLVD
CASSELBERRY, FL 32707
Community/Behavioral Health
661 SEMINOLA BLVD
CASSELBERRY, FL 32707
Marriage & Family Therapist
661 SEMINOLA BLVD
CASSELBERRY, FL 32707
Counselor (Mental Health)
661 SEMINOLA BLVD
CASSELBERRY, FL 32707
Marriage & Family Therapist
661 SEMINOLA BLVD
CASSELBERRY, FL 32707

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 Kerry Wallace's NPI number?

The NPI number for Kerry Wallace is 1841234101. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Kerry Wallace located?

Kerry Wallace practices at 661 Seminola Blvd, Casselberry, FL 32707. The listed phone number is (407) 333-0254.

What is Kerry Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kerry Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.