Desiree Wallace
NPI 1104637461 · Addiction (Substance Use Disorder) Counselor · Baltimore, MD
Desiree Wallace is a Addiction (Substance Use Disorder) Counselor provider in Baltimore, MD (NPI 1104637461).
Provider details
- NPI number
- 1104637461
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- ADT2383 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2025-01-16
- Last updated
- 2025-01-16
- Certified
- 2025-01-16
Frequently asked questions
- What is Desiree Wallace's NPI number?
- Desiree Wallace's National Provider Identifier (NPI) is 1104637461, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Desiree Wallace's specialty?
- Desiree Wallace is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Desiree Wallace located?
- Desiree Wallace's practice location on file with NPPES is 3310 Eastern Ave, Baltimore, MD 21224-4108.
- What is Desiree Wallace's phone number?
- The practice phone number listed in the NPPES registry for Desiree Wallace is (443) 708-5056.
- Is Desiree Wallace's NPI active?
- Yes — Desiree Wallace's NPI (1104637461) is active in the NPPES registry as of the last update on 2025-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.