IndividualActive
Anzia Timmons Wallace, STUDENT COUNSELOR
NPI 1568037323 · Marriage & Family Therapist · Florence, SC
Provider details
- NPI number
- 1568037323
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- STUDENT COUNSELOR
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Practice location
1800 2nd Loop Rd Ste 3&4
Florence, SC 29501-6180
Phone: (843) 667-1905
Approximate (ZIP-level) locationGet directions
Mailing address
2109 Loquat Dr
Florence, SC 29505-3806
Registry dates
- Enumerated
- 2021-05-24
- Last updated
- 2021-05-24
- Certified
- 2021-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.