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

MS. Ellah Wallace, MFTI

Individual provider Marriage & Family Therapist · NPI 1740309194

MS. Ellah Wallace, MFTI is a Marriage & Family Therapist in Gardena, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

130 W Victoria St
Gardena, CA 90248-3523
Phone: (310) 715-2020
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence IMF 46459 (CA)

Record details

NPI number1740309194
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFTI
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4785 Don Miguel Dr Apt 3, Los Angeles, CA 90008-4151

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