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

Simone Wallace

Individual provider Counselor · NPI 1043906027

Simone Wallace is a Counselor in Minneapolis, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

1044 27th Ave SE Apt D
Minneapolis, MN 55414-2736
Phone: (612) 508-9723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1043906027
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2023
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address1044 27th Ave Se Apt D, Minneapolis, MN 55414-2736

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