MAYNELL WALLACE LPCC
NPI 1912426990
Counselor in West Union, OH

Active since September 12, 2017
3964 WHEAT RIDGE RD, WEST UNION, OH 45693(937) 544-0100 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2019, Sep 12, 2017 (2 updates tracked since 2017).

About Maynell Wallace Lpcc NPPES

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

MAYNELL WALLACE LPCC (NPI 1912426990) is an individual counselor in West Union, Ohio, licensed in Ohio (1600067) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1912426990
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMAYNELL WALLACECredential: LPCC
Location Address3964 WHEAT RIDGE RDWest Union, OH 45693
Mailing Address3964 Wheat Ridge RdWest Union, OH 45693
Sole ProprietorNo
Enumeration DateSeptember 12, 2017
Last NPPES UpdateAugust 26, 20192 updates tracked since enumeration
NPI 1912426990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in OH · 1600067
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.
3964 WHEAT RIDGE RD, West Union, OH 45693

Other Providers at the Same Location NPPES 3

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

Day Training, Developmentally Disabled Services
3964 WHEAT RIDGE RD
WEST UNION, OH 45693
Counselor (Mental Health)
3964 WHEAT RIDGE RD
WEST UNION, OH 45693
Case Manager/Care Coordinator
3964 WHEAT RIDGE RD
WEST UNION, OH 45693

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 Maynell Wallace's NPI number?

The NPI number for Maynell Wallace is 1912426990. It was assigned to this individual provider in the NPPES registry on September 12, 2017.

Where is Maynell Wallace located?

Maynell Wallace practices at 3964 Wheat Ridge Rd, West Union, OH 45693. The listed phone number is (937) 544-0100.

What is Maynell 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 Maynell Wallace was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.