Wallace, Rane Perry

Wallace, Rane Perry is an individual health care provider with primary practice located at 4927 Byers Ave # 212 , Fort Worth TX 76107-4148. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wallace, Rane Perry can be contacted via phone (682) 232-4003.

Contact Information

Primary practice address
4927 Byers Ave # 212 Fort Worth TX 76107-4148
Phone: (682) 232-4003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 74425 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12567 Texas

Profile Details

NPI number 1205286762
LBN Legal business name Wallace, Rane Perry
Credentials MS, LPC, LCDC, SAP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2016
Last updated Jul 12th, 2023 - about 3 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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