Individual provider · Type 1 NPI
Leroy Wallace Ii, QMHP-CS
Mental Health Counselor · Houston, TX
NPI number
1790602647
Active
Practice location
3511 Dawson Ln
Houston, TX 77051-3216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1790602647
Leroy Wallace Ii, QMHP-CS's National Provider Identifier is 1790602647, issued on Jul 1, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Houston, TX. The record was last updated on Jul 1, 2026.