LORETTA WALLACE
NPI 1932043957
Counselor - Addiction (Substance Use Disorder) in New York, NY

Active since April 18, 2026
60 E 112TH ST APT 402, NEW YORK, NY 10029(646) 245-7639 Get Directions Write a Review

NPPES record last updated: April 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Loretta Wallace NPPES

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

LORETTA WALLACE (NPI 1932043957) is an individual addiction (substance use disorder) provider in New York, New York, licensed in New York (41880) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1932043957
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLORETTA WALLACE
Location Address60 E 112TH ST APT 402New York, NY 10029-0314
Mailing Address60 E 112th St Apt 402New York, NY 10029-0314 · (646) 245-7639
Sole ProprietorYes
Enumeration DateApril 18, 2026
NPPES CertifiedApril 18, 2026
NPI 1932043957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NY · 41880
60 E 112TH ST APT 402, New York, NY 10029

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 Loretta Wallace's NPI number?

The NPI number for Loretta Wallace is 1932043957. It was assigned to this individual provider in the NPPES registry on April 18, 2026.

Where is Loretta Wallace located?

Loretta Wallace practices at 60 E 112th St Apt 402, New York, NY 10029. The listed phone number is (646) 245-7639.

What is Loretta Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Loretta Wallace was last updated on April 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.