Evelyn K Wallace, PHD

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

340 N Sam Houston Pkwy E Ste A110B
Houston, TX 77060-3305

Phone

(713) 909-0414

NPI assigned

Aug 2, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eve Wallace Consulting Firm, LLC

  • Public Health or Welfare Agency
  • Houston, TX
  • NPI 1972276202
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1487327714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N SAM HOUSTON PKWY E STE A110B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N SAM HOUSTON PKWY E STE A110B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603305",
            "telephone_number": "713-909-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "EVELYN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Wallace
• Brooke Wallace, LOT
• Cynthia D Wallace
• David Michael Wallace, D.O.
• Ebony Vach'E Wallace
• Faye Wallace, LPC - ASSOCIATE
• Grace Wallace, COTA
• Heaven Catherine Wallace
• Ian Carroll Wallace, PT
• James A. Wallace

• Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.