MS. EBONY WALLER LMFT, RPT, PHD
NPI 1982431094
Marriage & Family Therapist in Cherry Valley, IL

Q: What is Ebony Waller's NPI number?

The NPI number for Ebony Waller is 1982431094. It was assigned to this individual provider in the NPPES registry on September 14, 2024.

Q: What is Ebony Waller'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 Ebony Waller was last updated on September 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since September 14, 2024

7572 N CHERRYVALE BLVD APT 204, CHERRY VALLEY, IL 61016(702) 572-8535 Get Directions Write a Review

NPPES record last updated: September 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Ebony Waller Lmft, Rpt, Phd NPPES

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

MS. EBONY WALLER LMFT, RPT, PHD (NPI 1982431094) is an individual marriage & family therapist in Cherry Valley, Illinois, licensed in Illinois (166.001541) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1982431094

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. EBONY WALLERCredential: LMFT, RPT, PHD

Location Address7572 N CHERRYVALE BLVD APT 204Cherry Valley, IL 61016-9305

Mailing Address7572 N Cherryvale Blvd Apt 204Cherry Valley, IL 61016-9305 · (702) 572-8535

Phone(702) 572-8535

Sole ProprietorYes

Enumeration DateSeptember 14, 2024

NPPES CertifiedSeptember 14, 2024

✔ NPI 1982431094 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 IL · 166.001541

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.

7572 N CHERRYVALE BLVD APT 204, Cherry Valley, IL 61016

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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 Ebony Waller's NPI number?

The NPI number for Ebony Waller is 1982431094. It was assigned to this individual provider in the NPPES registry on September 14, 2024.

Where is Ebony Waller located?

Ebony Waller practices at 7572 N Cherryvale Blvd Apt 204, Cherry Valley, IL 61016. The listed phone number is (702) 572-8535.

What is Ebony Waller'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 Ebony Waller was last updated on September 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.