Wallace, Azaia
Wallace, Azaia is an individual health care provider with primary practice located at 8039 Lennox Loop , Wesley Chapel FL 33544-3503. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wallace, Azaia can be contacted via phone (918) 859-5775.Contact Information
Primary practice address
8039 Lennox Loop
Wesley Chapel FL 33544-3503
Phone: (918) 859-5775
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10883-C | Nevada |
Profile Details
| NPI number | 1982287876 |
|---|---|
| LBN Legal business name | Wallace, Azaia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2021 |
| Last updated | Sep 4th, 2024 - about 2 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.
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