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

MS. Tyresha Lyna Wallace

Individual provider Doula · NPI 1497568455

MS. Tyresha Lyna Wallace is a Doula in Great Mills, Maryland. Licensed in Maryland. Registered with an NPI since 2025.

Licensed in
MD
In the registry since
2025

Practice location Address checks out

45528 Coosan Ct
Great Mills, MD 20634-2454
Phone: (443) 404-9473
Show map & directions

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

Specialties & licences

Doula (primary) Taxonomy 374J00000X (MD)

Record details

NPI number1497568455
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 31, 2025
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address1517 Reisterstown Rd, Pikesville, MD 21208-4325