Search › Arkansas › 101Y00000X
Chakiah Wallace, LAC
NPI 1902629199 · on the registry since 2024
Practice
- Address
- 6501 W. 12th, Street
Little Rock, AR 72204 - Phone
- (501) 666-8686
- Fax
- (501) 660-6832
- Organisation at this address
- Centers For Youth And Families
Centers For Youth And Families
Centers For Youth And Families, Inc
Centers For Youth And Families, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 321
Additional practice sites
- 3965 Sydney Dr, Conway, AR
- 11215 Hermitage Rd Ste 204, Little Rock, AR
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101Y00000X
101YM0800X
101YM0800X - Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-19
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 Arkansas