Individual provider · Type 1 NPI

Bradley Wallace, LMHC

Mental Health Counselor · Boston, MA

NPI number 1174372767 Active

Practice location

266 Beacon St Ste 4
Boston, MA 02116-1288

Call (617) 970-8580 Map

Mailing address

175 Federal St, St 1400
Boston, MA 02110-2237

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

Another provider at this address

Other mental health counselor providers in Boston

See all in Boston →

About NPI 1174372767

Bradley Wallace, LMHC's National Provider Identifier is 1174372767, issued on May 15, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Jun 4, 2026.