Brittany Wallis, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT#2950 Issued in FL

Practice address

101 Majorca Ave
Coral Gables, FL 33134-4508

Phone

(786) 618-2627

Fax

(786) 685-2126

NPI assigned

Jan 14, 2015

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Autonomy Hour

  • Marriage & Family Therapist
  • Coral Gables, FL
  • NPI 1417628520
  NPD Authorized official

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1821487851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAJORCA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344508",
            "telephone_number": "786-618-2627",
            "fax_number": "786-685-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAJORCA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344508",
            "telephone_number": "786-618-2627",
            "fax_number": "786-685-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "BRITTANY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT#2950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walk Physical Therapy PA (Walk in Miami)
• Walk Physical Therapy, P.a. (Walk in Miami)
• Dominique Walker
• Jamell Edwina Walker, M.D.
• Anthony Wallace, MASTER
• Mackenzie Wallis, LCSW
• Isabella Dawn Walls
• Kenneth T Wals, MD
• Emily Ann Walsh, M.S.
• Kathleen Diana Warman, PSY.D.

• Marriage & Family Therapist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.