Judith Wallace, MAC, LAT - Counselor in Sheridan, WY

Judith Wallace, MAC, LAT is a Counselor - Mental Health based in Sheridan, Wyoming. Judith Wallace is licensed to practice in Wyoming (license number 1359) and her current practice location is 1221 W 5th St, Sheridan, Wyoming. She can be reached at her office (for appointments etc.) via phone at (307) 674-4405.

NPI number for Judith Wallace is 1205373107 and her current mailing address is 1221 W 5th St, Sheridan, Wyoming. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205373107.

Contact Information

Judith Wallace, MAC, LAT
1221 W 5th St,
Sheridan, WY 82801-2701
(307) 674-4405
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJudith Wallace
GenderFemale
SpecialityCounselor - Mental Health
Location1221 W 5th St, Sheridan, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205373107
  • Provider Enumeration Date: 01/30/2017
  • Last Update Date: 04/06/2023

Medical Identifiers

Medical identifiers for Judith Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205373107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 352 (Wyoming)Secondary
171100000XAcupuncturist A-030 (Wyoming)Secondary
101YM0800XCounselor - Mental Health 1359 (Wyoming)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. Judith 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 AddressPractice Location Address
Judith Wallace, MAC, LAT
1221 W 5th St,
Sheridan, WY 82801-2701

Ph: (307) 674-4405
Judith Wallace, MAC, LAT
1221 W 5th St,
Sheridan, WY 82801-2701

Ph: (307) 674-4405

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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