Wallace Integrative Therapy a Marriage and Family Therapy Corporation

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

WALLACE INTEGRATIVE THERAPY A MARRIAGE AND FAMILY THERAPY CORPORATION

Practice address

11022 Santa Monica Blvd Ste 370
Los Angeles, CA 90025-7532

Phone

(310) 467-8244

NPI assigned

Mar 31, 2026

Organization subpart

No

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

Authorized official

Name

David Wallace, LMFTNPI 1063352706

Title

Owner

Phone

(310) 467-8244

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David S. Wallace, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1063352706
  NPD Authorized official

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1750221495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11022 SANTA MONICA BLVD STE 370",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257532",
            "telephone_number": "310-467-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 SANTA MONICA BLVD STE 370",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257532",
            "telephone_number": "310-467-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLACE INTEGRATIVE THERAPY A MARRIAGE AND FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-467-8244",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Wall
• Britney Wall, LVN
• Charlotte Wall
• Emma Wall, BMBCH
• Lucy Wall, PSYD
• Angela Kathleen Wallace, MFT #45450
• Ashley Wallace
• Ayesha Wallace
• Caroline Sheridan Wallace, AMFT
• Cheyenne Wallace

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.