Maria Wallace Rapid Transformational Therapist

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MARIA WALLACE RAPID TRANSFORMATIONAL THERAPIST

Doing business as

Therapy with Maria Wallace, LCSW, C. Hyp.

Practice address

345 Doucet Rd Ste 228
Lafayette, LA 70503-3490

Phone

(337) 281-1121

NPI assigned

Apr 26, 2019

Last updated

Apr 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maxine Prevost

Title

Manager

Phone

(337) 288-8929

Specialties & licenses 1

Addresses

Other names 1

• Therapy with Maria Wallace, LCSW, C. Hyp. Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Hebert Wallace, LCSW

  • Clinical Social Worker
  • Lafayette, LA
  • NPI 1508183831
  Medicare reassignment NPD

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1982268728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WAVERLY BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088091",
            "telephone_number": "337-281-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 DOUCET RD STE 228",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033490",
            "telephone_number": "337-281-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA WALLACE RAPID TRANSFORMATIONAL THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "PREVOST",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-288-8929"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy with Maria Wallace, LCSW, C. Hyp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Marchany
• Margo Hasha, LLC
• Marguerite Potier LLC
• Maria Bidros MD Apmc
• Maria T. Doucet, M.D., a.P.M.C. (Maria M. Doucet, M.D., A.P.M.C.)
• Francesca Marie Marino, D.C.
• Brooke Theriot Marks, SLP
• Kristi Marks
• Lauren Frazier Marks, PA
• Logan Marks

• Clinical Social Worker in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.