1. Home
  2. Directory
  3. New Jersey
  4. Union
  5. Counselor
  6. NPI Profile

MRS. DIANE TAMARA WALLACE LAC
NPI 1912729500
Counselor - Mental Health in Union, NJ

Active since October 25, 2024
1830 MANOR DR, UNION, NJ 07083(973) 978-2858 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Diane Tamara Wallace Lac NPPES

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

MRS. DIANE TAMARA WALLACE LAC (NPI 1912729500) is an individual mental health provider in Union, New Jersey, licensed in New Jersey (37AC00711600) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1912729500
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. DIANE TAMARA WALLACECredential: LAC
Location Address1830 MANOR DRUnion, NJ 07083-4617
Mailing Address1830 Manor DrUnion, NJ 07083-4617 · (973) 978-2858
Phone(973) 978-2858
Sole ProprietorYes
Enumeration DateOctober 25, 2024
NPPES CertifiedOctober 25, 2024
✔ NPI 1912729500 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 NJ · 37AC00711600
1830 MANOR DR, Union, NJ 07083
Open in Google Maps ↗

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 Diane Wallace's NPI number?

The NPI number for Diane Wallace is 1912729500. It was assigned to this individual provider in the NPPES registry on October 25, 2024.

Where is Diane Wallace located?

Diane Wallace practices at 1830 Manor Dr, Union, NJ 07083. The listed phone number is (973) 978-2858.

What is Diane 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 Diane Wallace was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.