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CHAKIAH WALLACE LAC
NPI 1902629199
Counselor in Little Rock, AR

Active since November 05, 2024
6501 W. 12TH, STREET, LITTLE ROCK, AR 72204(501) 666-8686(501) 660-6832 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2024, Nov 5, 2024 (2 updates tracked since 2024).

About Chakiah Wallace Lac NPPES

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

CHAKIAH WALLACE LAC (NPI 1902629199) is an individual counselor in Little Rock, Arkansas, licensed in Arkansas (A2411012) and active in the NPI registry since November 2024. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902629199
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCHAKIAH WALLACECredential: LAC
Location Address6501 W. 12TH, STREETLittle Rock, AR 72204-1511
Mailing AddressP.o. Box 251970Little Rock, AR 72225-1970 · (501) 666-8686 · Fax (501) 660-6830
Phone(501) 666-8686
Fax(501) 660-6832
Sole ProprietorNo
Enumeration DateNovember 5, 2024
Last NPPES UpdateAugust 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1902629199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in AR · A2411012
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A2411012 (AR)
6501 W. 12TH, STREET, Little Rock, AR 72204
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Other Names 1

Other Name (5)Chakiah Elaine Wallace Lac

Secondary Practice Locations 2

Location 13965 Sydney DrConway, AR 72034-7791 · Phone (501) 438-2870
Location 211215 Hermitage Rd Ste 204Little Rock, AR 72211-3864 · Phone (501) 777-5969 · Fax (501) 379-9791

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 Chakiah Wallace's NPI number?

The NPI number for Chakiah Wallace is 1902629199. It was assigned to this individual provider in the NPPES registry on November 5, 2024. The provider is also known as Chakiah Elaine Wallace Lac.

Where is Chakiah Wallace located?

Chakiah Wallace practices at 6501 W. 12th, Street, Little Rock, AR 72204. The listed phone number is (501) 666-8686.

What is Chakiah Wallace's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Chakiah Wallace was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.