Search › Florida › 101YM0800X
Shanthalitta Wallace, LMHC
NPI 1659848539 · on the registry since 2018 · sole proprietor
Practice
- Address
- 9617 Watershed Dr E
Jacksonville, FL 32220 - Phone
- (860) 496-0909
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida