Anzia Timmons Wallace, STUDENT COUNSELOR is a
Marriage & Family Therapist based in Florence, South Carolina. Anzia Timmons Wallace is licensed to practice in * (Not Available) (license number ) and her current practice location is
1800 2nd Loop Rd Ste 3&4, Florence, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 667-1905.
NPI number for Anzia Timmons Wallace is 1568037323 and her current mailing address is 2109 Loquat Dr, Florence, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568037323.
Healthcare Provider's Profile
Full Name | Anzia Timmons Wallace |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 1800 2nd Loop Rd Ste 3&4, Florence, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568037323
- Provider Enumeration Date: 05/24/2021
- Last Update Date: 05/24/2021
Medical Identifiers
Medical identifiers for Anzia Timmons Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568037323 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anzia Timmons Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Anzia Timmons Wallace, STUDENT COUNSELOR 2109 Loquat Dr, Florence, SC 29505-3806 Ph: () - | Anzia Timmons Wallace, STUDENT COUNSELOR 1800 2nd Loop Rd Ste 3&4, Florence, SC 29501-6180 Ph: (843) 667-1905 |
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