Individual provider · Type 1 NPI

Racquel Elizabeth Wallace, MFT

Marriage & Family Therapist · New York, NY

NPI number 1780355800 Active

Practice location

1990 Lexington Ave
New York, NY 10035-2902

Mailing address

1404 Country Ln
Ewing, NJ 08628-3322

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 1780355800

Racquel Elizabeth Wallace, MFT's National Provider Identifier is 1780355800, issued on Sep 28, 2021. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in New York, NY. The record was last updated on Oct 18, 2025.