Mr Wallace Dasher Iii, MS - Counselor in Orlando, FL

Mr Wallace Dasher Iii, MS is a Counselor - Mental Health based in Orlando, Florida. Mr Wallace Dasher Iii is licensed to practice in * (Not Available) (license number ) and his current practice location is 1703 W Colonial Dr, Orlando, Florida. He can be reached at his office (for appointments etc.) via phone at (321) 332-8211.

NPI number for Mr Wallace Dasher Iii is 1770075228 and his current mailing address is 332 Friars Ln, Lake Mary, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770075228.

Contact Information

Mr Wallace Dasher Iii, MS
1703 W Colonial Dr,
Orlando, FL 32804-7000
(321) 332-8211
(248) 769-6154

Map and Direction


Healthcare Provider's Profile

Full NameMr Wallace Dasher Iii
GenderMale
SpecialityCounselor - Mental Health
Location1703 W Colonial Dr, Orlando, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770075228
  • Provider Enumeration Date: 05/31/2018
  • Last Update Date: 01/31/2019

Medical Identifiers

Medical identifiers for Mr Wallace Dasher Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770075228NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YS0200XCounselor - School (* (Not Available))Secondary
102L00000XPsychoanalyst (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (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. Mr Wallace Dasher Iii 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
Mr Wallace Dasher Iii, MS
332 Friars Ln,
Lake Mary, FL 32746-3459

Ph: (941) 404-8382
Mr Wallace Dasher Iii, MS
1703 W Colonial Dr,
Orlando, FL 32804-7000

Ph: (321) 332-8211

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