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HENRY HUGH WALLACE NPI 1871155242


NPI Information

NPI: 1871155242
Provider Name: HENRY HUGH WALLACE
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
6236 RHONES QUARTER RD LOT 13
TYLER, TX
ZIP 75707
Phone: (903) 952-9869
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Henry Hugh Wallace is a marriage family therapist in Tyler, TX. The provider is 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. Henry Hugh Wallace NPI is 1871155242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6236 RHONES QUARTER RD LOT 13
TYLER, TX
ZIP 75707-479
Phone: (903) 952-9869

The enumeration date for this NPI number is 7/5/2019 and was last updated on 7/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family Therapist201549TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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