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

Miata Quintae Wallace, MS

Individual provider Counselor · NPI 1710855838

Miata Quintae Wallace, MS is a Counselor in Chesapeake, Virginia. Licensed in Virginia. Registered with an NPI since 2025.

Licensed in
VA
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

1524 Volvo Pkwy Ste B
Chesapeake, VA 23320-1516
Phone: (757) 404-5355
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (VA)

Record details

NPI number1710855838
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedOctober 29, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address957 Duck Pond Dr Apt 301, Virginia Beach, VA 23464-3340

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