Eric Clinton Wallace
Eric Clinton Wallace is a Addiction (Substance Use Disorder) Counselor provider (Counselor) practicing in West Union, OH, registered in the NPPES registry with NPI 1366955585 since 2017. Practices at Sunrise Treatment Center, LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1366955585 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Eric Clinton Wallace |
| Sex | Male |
| Practice address | West Union, OH, 45693 |
| Phone | 5139414999 |
| Fax | 5136940168 |
| Enumeration date | 2017-11-09 |
| Last updated in NPPES | 2023-05-26 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Secondary | CDCA.164839 | OH |
| 101YM0800X | Mental Health Counselor | Secondary | QMHS | OH |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Primary | CDCA.168404 | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0273638 | Medicaid | OH | — |
Copy-ready billing details
Provider: Eric Wallace NPI: 1366955585 Taxonomy: 101YA0400X (Addiction (Substance Use Disorder) Counselor) Address: West Union, OH, 45693
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1043741861 | Christina Jeffery | Individual | Addiction (Substance Use Disorder) Counselor | West Union, OH |
| 1528597432 | Grace Mcdonald | Individual | Addiction (Substance Use Disorder) Counselor | West Union, OH |
| 1154844041 | Amanda Wallace | Individual | Family Nurse Practitioner | West Union, OH |
| 1689187510 | Melissa Parker | Individual | Addiction (Substance Use Disorder) Counselor | West Union, OH |
| 1306484084 | Heather Saylor | Individual | Professional Counselor | West Union, OH |
| 1407445075 | Justin Young | Individual | Addiction (Substance Use Disorder) Counselor | West Union, OH |
| 1083374169 | Samantha Tumey | Individual | Licensed Practical Nurse | West Union, OH |
| 1942956529 | Bradley Holt | Individual | Addiction (Substance Use Disorder) Counselor | West Union, OH |
Verify this record
Cross-check NPI 1366955585 against the authoritative CMS record: view Eric Clinton Wallace on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-05-26.