Wallace, Alexis A
Wallace, Alexis A is an sole proprietor health care provider with primary practice located at Counseling Solutions 80 Palomino Lane, Suite 203, Bedford NH 03110. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wallace, Alexis A can be contacted via phone (603) 627-8858.Contact Information
Primary practice address
Counseling Solutions 80 Palomino Lane, Suite 203
Bedford NH 03110
Phone: (603) 627-8858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 160 | New Hampshire |
Profile Details
| NPI number | 1255544151 |
|---|---|
| LBN Legal business name | Wallace, Alexis A |
| Credentials | LCMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255544151 | NPPES |
| New Hampshire | MEDICAID | 30010002 |
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