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

Kanishia Wallace

Individual provider Mental Health Counselor · NPI 1023413515

Kanishia Wallace is a Mental Health Counselor in Deerfield Beach, Florida. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone: (888) 880-9270
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1023413515
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 27, 2014
Last updated in NPPESMay 3, 2019

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