Individual provider · Type 1 NPI

Shell Wallace

Peer Specialist · Flint, MI

NPI number 1396649349 Active

Practice location

765 E Hamilton Ave
Flint, MI 48505-4707

Call (810) 233-5340 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1396649349

Shell Wallace's National Provider Identifier is 1396649349, issued on Oct 5, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Flint, MI. The record was last updated on Oct 5, 2026.