Melanie Drake Wallace, PH.D., LPC-S, ACS,

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1250 Issued in AL

Practice address

600 Century Park S Ste 200
Birmingham, AL 35226-3931

Phone

(205) 999-5247

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1699454462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 WILLOWBROOK CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352423441",
            "telephone_number": "205-994-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CENTURY PARK S STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263931",
            "telephone_number": "205-999-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "MELANIE",
        "middle_name": "DRAKE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC-S, ACS,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Yeager Wallace
• Jenna Michelle Wallace
• Kathleen West Wallace, AU.D.
• Martha Cochran Wallace, D.M.D.
• Maya Wallace
• Michael Wallace, DO
• Mykerra L Wallace
• Samantha Grace Wallace
• Savannah Wallace
• Stephenie B Wallace, M.D.

• Professional Counselor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.