Wallace, Willie James
Wallace, Willie James is an individual health care provider with primary practice located at 835 Pride Dr , Hammond LA 70401-9527. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wallace, Willie James can be contacted via phone (985) 543-4730.Contact Information
Primary practice address
835 Pride Dr
Hammond LA 70401-9527
Phone: (985) 543-4730
Fax: (985) 543-4752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4852 | Louisiana |
Profile Details
| NPI number | 1851631485 |
|---|---|
| LBN Legal business name | Wallace, Willie James |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2013 |
| Last updated | Feb 19th, 2013 - about 13 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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