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KELLY M WALLACE
NPI 1871225706
Counselor - Mental Health in East Longmeadow, MA

Active since June 29, 2022
41 BIRCHLAND AVE, EAST LONGMEADOW, MA 01028(141) 388-7495 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kelly M Wallace NPPES

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

KELLY M WALLACE (NPI 1871225706) is an individual mental health provider in East Longmeadow, Massachusetts and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1871225706
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY M WALLACE
Location Address41 BIRCHLAND AVEEast Longmeadow, MA 01028-2411
Mailing Address41 Birchland AveEast Longmeadow, MA 01028-2411 · (141) 388-7495
Phone(141) 388-7495
Sole ProprietorYes
Enumeration DateJune 29, 2022
NPPES CertifiedJune 29, 2022
✔ NPI 1871225706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
41 BIRCHLAND AVE, East Longmeadow, MA 01028
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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 Kelly Wallace's NPI number?

The NPI number for Kelly Wallace is 1871225706. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Where is Kelly Wallace located?

Kelly Wallace practices at 41 Birchland Ave, East Longmeadow, MA 01028. The listed phone number is (141) 388-7495.

What is Kelly 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 Kelly Wallace was last updated on June 29, 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.