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

Eloise F Wallace

Individual provider Case Manager/Care Coordinator · NPI 1457848392

Eloise F Wallace is a Case Manager/Care Coordinator in Clinton Township, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
Specialties on file
2

Practice location Address checks out

15600 19 Mile Rd
Clinton Township, MI 48038-3502
Phone: (248) 475-6300
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (MI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1457848392
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2018
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

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