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

Mr. Anthony Wallace, MASTER

Individual provider Mental Health Counselor · NPI 1174025985

Mr. Anthony Wallace, MASTER is a Mental Health Counselor in Coral Gables, Florida. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

2222 Ponce De Leon Blvd Fl 3
Coral Gables, FL 33134-5039
Phone: (866) 305-7365
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1174025985
Entity typeIndividual (Type 1)
GenderMale
Credentials MASTER
Sole proprietorNo
NPI enumeratedMarch 7, 2018
Last updated in NPPESMarch 7, 2018
Mailing address2222 Ponce De Leon Blvd Fl 3, Coral Gables, FL 33134-5039

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