Individual provider · Type 1 NPI
Tyshaundra Renee Wallace, M.ED, LCASA, QP
Mental Health Counselor · High Point, NC
NPI number
1669937595
Active
Practice location
1001 Phillips Ave
High Point, NC 27262-7251
Mailing address
438 Drum Rd Apt 8
Reidsville, NC 27320-9062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A17585 (NC) |
| Mental Health Counselor | 101YM0800X | LCAS-25036 (NC) |
Mental Health Counselor: Definition to come...
3 other providers at this address
Other mental health counselor providers in High Point
- Diane Harper, LCMHCMental Health Counselor High Point, NC NPI 1033635305
- Laura M. Taylor, MS, LCMHCS, EMDR-CMental Health Counselor High Point, NC NPI 1053482927
- Karis Taylor, LCMHC-A, M.SMental Health Counselor High Point, NC NPI 1063219251
- Sylvester R. Smith, MSRC; LPC, CRC, LCASMental Health Counselor High Point, NC NPI 1063641397
- Tunde Adeyinka Adenola, LPCAMental Health Counselor High Point, NC NPI 1093125049
- Katlin Hecox, LMFTMental Health Counselor High Point, NC NPI 1104002310
- Judith Tobin, MAMental Health Counselor High Point, NC NPI 1134881923
- Karen T. Hyneck, LCMHCMental Health Counselor High Point, NC NPI 1174260897
About NPI 1669937595
Tyshaundra Renee Wallace, M.ED, LCASA, QP's National Provider Identifier is 1669937595, issued on Feb 5, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in High Point, NC. The record was last updated on Oct 23, 2026.