Amanda Marie Wallace, LCSW

Case Manager/Care Coordinator · Mohall, ND

Individual Active NPI

NPI number 1952808024

Practice location

205 Main St E
Mohall, ND 58761-4014
Phone
(701) 756-6374

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NPI record

NPI
1952808024
Entity type
Individual (Type 1)
Enumeration date
April 6, 2018
Last updated
April 6, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X 4524 ND

Mailing address

PO Box 305
Mohall, ND 58761-0305
Phone
(701) 756-6374

About Amanda Wallace

Amanda Marie Wallace, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 205 Main St E, Mohall, ND 58761-4014. The NPI number 1952808024 was assigned on April 6, 2018 and the record was last updated on April 6, 2018.

Amanda Wallace lists a license in the registry: #4524 (ND) for Case Manager/Care Coordinator. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Marie Wallace, LCSW?

The NPI number is 1952808024.

What is the phone number of Amanda Wallace?

The phone number listed for the practice location is (701) 756-6374.

Where is Amanda Wallace located?

205 Main St E, Mohall, ND 58761-4014.

What is the taxonomy code for Amanda Wallace?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.