What is Tracey Wallace's NPI number?

Tracey Wallace's National Provider Identifier (NPI) is 1053748038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tracey Wallace's specialty?

Tracey Wallace is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Tracey Wallace located?

Tracey Wallace's practice location on file with NPPES is 122 Wolf Tail Ct Sw, Atlanta, GA 30349-6547.

What is Tracey Wallace's phone number?

The practice phone number listed in the NPPES registry for Tracey Wallace is (336) 210-2957.

Is Tracey Wallace's NPI active?

Yes — Tracey Wallace's NPI (1053748038) is active in the NPPES registry as of the last update on 2013-10-04.

IndividualActive

Tracey Wallace

NPI 1053748038 · Mental Health Counselor · Atlanta, GA

Tracey Wallace is a Mental Health Counselor provider in Atlanta, GA (NPI 1053748038).

Provider details

NPI number: 1053748038
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(70/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

122 Wolf Tail Ct Sw

Atlanta, GA 30349-6547

Phone: (336) 210-2957

Street-level locationGet directions

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Mailing address