IndividualActive
Anthony Wallace, MASTER
NPI 1174025985 · Counselor · Coral Gables, FL
Provider details
- NPI number
- 1174025985
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- MASTER
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
2222 Ponce De Leon Blvd Fl 3
Coral Gables, FL 33134-5039
Phone: (866) 305-7365
Street-level locationGet directions
Mailing address
2222 Ponce De Leon Blvd Fl 3
Coral Gables, FL 33134-5039
Registry dates
- Enumerated
- 2018-03-07
- Last updated
- 2018-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.