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

Dr. Timothy Wallace Jr., EDD

Individual provider Professional Counselor · NPI 1619527611

Dr. Timothy Wallace Jr., EDD is a Professional Counselor in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2019
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

See every abbreviation used in this directory →

Practice location Address checks out

580 S High St Ste 220
Columbus, OH 43215-5644
Phone: (614) 625-7183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.2504990 (OH)

Record details

NPI number1619527611
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorYes
NPI enumeratedSeptember 12, 2019
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

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