Active NPI
Arlevia Paschal Deloach-Wallace, LPC
- Professional Counselor
- Snellville, GA
National Provider Identifier
1811269285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006578
- Practice address
- 3991 Highway 78 W Ste 203
Snellville, GA 30039-3929 - Phone
- (770) 978-9393
- NPI assigned
- Feb 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC006578 | GA | Primary |
Addresses
Primary practice location
3991 Highway 78 W Ste 203
Snellville, GA 30039-3929
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (770) 978-9393
Other practice location 1
3421 Mike Padgett Hwy
Augusta, GA 30906-3815
Phone (706) 432-7893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000606317B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC006578 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
Interoperability endpoints
- arleviadeloachwallace@tdh.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1811269285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N SCOTTSDALE RD STE 2500",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517630",
"telephone_number": "770-978-9393",
"fax_number": "706-432-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3991 HIGHWAY 78 W STE 203",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300393929",
"telephone_number": "770-978-9393"
}
],
"practiceLocations": [
{
"address_1": "3421 Mike Padgett Hwy",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309063815",
"country_code": "US",
"telephone_number": "706-432-7893",
"fax_number": "706-432-3780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELOACH-WALLACE",
"first_name": "ARLEVIA",
"middle_name": "PASCHAL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-01",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC006578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000606317B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.