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Organization
WALLACE COUNSELING AND WELLNESS, PLLC
Active
Organization
WALLACE COUNSELING AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASIE WALLACE M.A., LMHC, QS (OWNER/MANAGER)
(239) 738-3449
Entity
Organization
Contact information
Practice address
420 RIDGEWOOD ST, ALTAMONTE SPRINGS, FL 32701-7822
(239) 738-3449
Mailing address
420 RIDGEWOOD ST, ALTAMONTE SPRINGS, FL 32701-7822
(407) 205-7584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
08/21/2026
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