Wallace, Mellani Maritza

Wallace, Mellani Maritza is an individual health care provider with primary practice located at 613 Marquette Rd , Brandon MS 39042-3038. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Wallace, Mellani Maritza can be contacted via phone (601) 591-5553.

Contact Information

Primary practice address
613 Marquette Rd Brandon MS 39042-3038
Phone: (601) 591-5553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1033799499
LBN Legal business name Wallace, Mellani Maritza
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2021
Last updated Apr 10th, 2021 - about 5 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.

Request for update

Popular Providers