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

Mr. Bradley Wallace, LMHC

Individual provider Mental Health Counselor · NPI 1174372767

Mr. Bradley Wallace, LMHC is a Mental Health Counselor in Boston, Massachusetts. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

266 Beacon St Ste 4
Boston, MA 02116-1288
Phone: (617) 970-8580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1174372767
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

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