Charles Wallace, LADAC
NPI 1902140932 · Addiction (Substance Use Disorder) Counselor · Farmington, NM
Charles Wallace, LADAC is a Addiction (Substance Use Disorder) Counselor provider in Farmington, NM (NPI 1902140932).
Provider details
- NPI number
- 1902140932
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LADAC
- Sex
- Male
- Sole proprietor
- No
- License
- 3628 (NM)
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
13 yrs 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
- 2012-11-15
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Frequently asked questions
- What is Charles Wallace's NPI number?
- Charles Wallace's National Provider Identifier (NPI) is 1902140932, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Wallace's specialty?
- Charles Wallace is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Charles Wallace located?
- Charles Wallace's practice location on file with NPPES is 653 W Arrington St, Farmington, NM 87401-8513.
- What is Charles Wallace's phone number?
- The practice phone number listed in the NPPES registry for Charles Wallace is (505) 564-3733.
- Is Charles Wallace's NPI active?
- Yes — Charles Wallace's NPI (1902140932) is active in the NPPES registry as of the last update on 2025-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.