Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adam Leo Wallace

Individual provider Mental Health Counselor · NPI 1790477479

Adam Leo Wallace is a Mental Health Counselor in Las Cruces, New Mexico. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

1250 Hillrise Cir
Las Cruces, NM 88011-4741
Phone: (575) 288-1881
Fax: (575) 288-1889
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1255 Country Club Rd Ste D, Santa Teresa, NM 88008-9707 — (575) 288-1881

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1790477479
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024
Mailing address1250 Hillrise Cir, Las Cruces, NM 88011-4741

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