Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shatavea Wallace

Individual provider Counselor · NPI 1144196833

Shatavea Wallace is a Counselor in Westampton, New Jersey. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

770 Woodlane Rd
Westampton, NJ 08060-3804
Phone: (609) 267-5928
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1144196833
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 11, 2025
Last updated in NPPESSeptember 25, 2026
Certification dateSeptember 25, 2026

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