Individual provider · Type 1 NPI
Andrea Wallace-Terwilliger, T-LMHC
Mental Health Counselor · Red Oak, IA
NPI number
1114607793
Active
Practice location
1977 G Ave
Red Oak, IA 51566-4474
Fax (712) 623-6047
Mailing address
PO Box 115
Shenandoah, IA 51601-0115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1114607793
Andrea Wallace-Terwilliger, T-LMHC's National Provider Identifier is 1114607793, issued on Jul 19, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Red Oak, IA. The record was last updated on Jan 12, 2026.