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

Myisha L Wallace

Individual provider Marriage & Family Therapist · NPI 1659062891

Myisha L Wallace is a Marriage & Family Therapist in Riverview, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

13190 Royal Pines Ave
Riverview, FL 33579-9321
Phone: (813) 520-0156
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 MT5504 (FL)

Record details

NPI number1659062891
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2023
Last updated in NPPESJune 6, 2026
Certification dateJune 6, 2026
Mailing address7901 4th St N Ste 300, St Petersburg, FL 33702-4399

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