Ty'Cristian Wallace, LGPC, CAC-ADS
NPI 1255053609 · Mental Health Counselor · Baltimore, MD
Ty'Cristian Wallace, LGPC, CAC-ADS is a Mental Health Counselor provider in Baltimore, MD (NPI 1255053609).
Provider details
- NPI number
- 1255053609
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LGPC, CAC-ADS
- Sex
- Male
- Sole proprietor
- No
- License
- LGP15614 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 829 Fieldcrest RdCambridge, MD 21613-9423Phone: (410) 228-8101
Registry dates
- Enumerated
- 2022-09-13
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Frequently asked questions
- What is Ty'Cristian Wallace's NPI number?
- Ty'Cristian Wallace's National Provider Identifier (NPI) is 1255053609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ty'Cristian Wallace's specialty?
- Ty'Cristian Wallace is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Ty'Cristian Wallace located?
- Ty'Cristian Wallace's practice location on file with NPPES is 638 N Gilmor St, Baltimore, MD 21217-2101.
- What is Ty'Cristian Wallace's phone number?
- The practice phone number listed in the NPPES registry for Ty'Cristian Wallace is (410) 462-2268.
- Is Ty'Cristian Wallace's NPI active?
- Yes — Ty'Cristian Wallace's NPI (1255053609) is active in the NPPES registry as of the last update on 2026-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.