Dana J. Wallace, Lcsw, Llc

LBN: Dana J. Wallace, Lcsw, Llc
Dana J. Wallace, Lcsw, Llc is an health care organization with primary practice located at 480 Santa Rosa Blvd Unit 308E , Fort Walton Beach FL 32548-6945. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Dana J. Wallace, Lcsw, Llc can be contacted via phone (251) 421-0712, or through Wallace, Dana Janelle via phone (251) 421-0712.

Contact Information

Primary practice address
480 Santa Rosa Blvd Unit 308E Fort Walton Beach FL 32548-6945
Phone: (251) 421-0712
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Dana Janelle LCSW, LICSW
Phone: (251) 421-0712

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1457280828
LBN Legal business name Dana J. Wallace, Lcsw, Llc
DBA Doing business as
Authorized official Wallace, Dana Janelle LCSW, LICSW
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2026
Last updated May 14th, 2026 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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