Individual provider · Type 1 NPI

Krystal Amanda Wallace

Marriage & Family Therapist · Addison, TX

NPI number 1487513693 Active

Practice location

15851 Dallas Pkwy Ste 600
Addison, TX 75001-6030

Mailing address

14132 Malinda Dr
Frisco, TX 75033-1742

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1487513693

Krystal Amanda Wallace's National Provider Identifier is 1487513693, issued on Jan 22, 2026. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Addison, TX. The record was last updated on Jan 29, 2026.