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Ty'Cristian Q. Wallace, LGPC, CAC-ADS

Mental Health Counselor in Baltimore, MD · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255053609

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Registry record

Entity type Individual (Type 1)
Name Ty'Cristian Q. Wallace
Credential LGPC, CAC-ADS
Sex Male
Practice address 638 N Gilmor St, Baltimore, MD, 21217
Phone (410) 462-2268
Enumeration date Sep 13, 2022
Last updated in NPPES Mar 5, 2026

Taxonomy & licenses

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License LGP15614 (MD) Primary
101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License AC3232 (MD) Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Ty'Cristian Wallace practice?
The practice location on file with NPPES is in Baltimore, MD. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Ty'Cristian Wallace?
The National Provider Identifier (NPI) for Ty'Cristian Wallace is 1255053609, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-05.