Amanda Wallace
Amanda Wallace is a Mental Health Counselor in Melbourne, Florida. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
4450 W Eau Gallie Blvd Ste 200Melbourne, FL 32934-7213
Phone: (321) 726-2860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1467819276 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 25, 2016 |
| Last updated in NPPES | March 10, 2023 |
| Certification date | March 10, 2023 |
| Mailing address | 400 E Sheridan Rd, Melbourne, FL 32901-3184 |
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