DR. BEVERLY ROSE WALLACE
NPI 1942759238
Counselor - Pastoral in Raleigh, NC
- Individual
- Female
- Counselor
- Pastoral
About BEVERLY WALLACE
This page provides the complete NPI Profile along with additional information for Beverly Wallace, a provider established in Raleigh, North Carolina with a medical specialization in Counselor, focusing in pastoral . The healthcare provider is registered in the NPI registry with number 1942759238 assigned on September 2016. The practitioner's primary taxonomy code is 101YP1600X. The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1942759238 Verify this NPI
- Provider Name
- DR. BEVERLY ROSE WALLACE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3719 BENSON DR RALEIGH, NC 27609
- Location Phone
- (919) 368-6227
- Mailing Address
- 3719 BENSON DR RALEIGH, NC 27609
- Mailing Phone
- (919) 368-6227
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-27-2016
- Last Update Date
- 09-27-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Pastoral
- Taxonomy Code
- 101YP1600X
- Type
- Behavioral Health & Social Service Providers
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
RALEIGH, NC 27609
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942759238, enumerated as an "individual" on September 27, 2016.
The provider is located at 3719 BENSON DR RALEIGH, NC 27609 and the phone number is (919) 368-6227.
Counselor with taxonomy code 101YP1600X and a focus in Pastoral.
