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

Trenton J Wallace, AM

Individual provider Peer Specialist · NPI 1598499626

Trenton J Wallace, AM is a Peer Specialist in Cleveland, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

1744 Payne Ave
Cleveland, OH 44114-2910
Phone: (216) 623-6555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3853 W 20th St, Cleveland, OH 44109-2935 — (216) 262-3846

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Peer Specialist Taxonomy 175T00000X
Peer Specialist Taxonomy 175T00000X · Licence APS.003298 (OH)

Record details

NPI number1598499626
Entity typeIndividual (Type 1)
GenderMale
Credentials AM
Sole proprietorYes
NPI enumeratedJuly 14, 2022
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023

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