Search › Florida › 101YM0800X
Raychelle Wallace
NPI 1609464098 · on the registry since 2021 · sole proprietor
Practice
- Address
- 673 W Lumsden Rd
Brandon, FL 33511 - Phone
- (813) 798-0800
- Fax
- (813) 798-7800
- Organisation at this address
- Assured Mental & Physical Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 251S00000X
261QM0801X
251B00000X
261QM0850X
261QM0855X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida