MRS. CAROL L WALLACE MA, LMFT
NPI 1912022492
Marriage & Family Therapist in Elk Grove, CA

Q: What is Carol Wallace's NPI number?

The NPI number for Carol Wallace is 1912022492. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Q: What is Carol Wallace's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Carol Wallace was last updated on June 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 21, 2007

2376 MARITIME DR, SUITE 200, ELK GROVE, CA 95758(916) 531-5647(916) 405-3470 Get Directions Write a Review

NPPES record last updated: June 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Carol L Wallace Ma, Lmft NPPES

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

MRS. CAROL L WALLACE MA, LMFT (NPI 1912022492) is an individual marriage & family therapist in Elk Grove, California, licensed in California (MFC48746) and active in the NPI registry since March 2007. She maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1912022492

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. CAROL L WALLACECredential: MA, LMFT

Location Address2376 MARITIME DR, SUITE 200Elk Grove, CA 95758

Mailing Address2376 Maritime Dr, Suite 200Elk Grove, CA 95758-3640 · (916) 531-5647 · Fax (916) 405-3470

Phone(916) 531-5647

Fax(916) 405-3470

Sole ProprietorYes

Enumeration DateMarch 21, 2007

Last NPPES UpdateJune 3, 2018

✔ NPI 1912022492 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 · MFC48746

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.

2376 MARITIME DR, Elk Grove, CA 95758

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Secondary Practice Location 1

Location 18912 Volunteer LnSacramento, CA 95826-3221 · Phone (916) 344-0199 ext. 223 · Fax (916) 344-0196

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 Carol Wallace's NPI number?

The NPI number for Carol Wallace is 1912022492. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Carol Wallace located?

Carol Wallace practices at 2376 Maritime Dr Suite 200, Elk Grove, CA 95758. The listed phone number is (916) 531-5647.

What is Carol 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 Carol Wallace was last updated on June 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.