Jennifer Wallace

  • Atlanta, GA
  • Addiction (substance use disorder) counselor
NPI1205483849
Affiliated sites
1
Medical group
1
State license
1
Year NPI issued
2019
Practice address
1275 Peachtree NE St, Atlanta, GA 30309
Practice phone
Call (800) 486-7647
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Modivcare Solutions

Atlanta, Georgia

See all 3 affiliations

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Jennifer Wallace is an addiction (substance use disorder) counselor in Atlanta, Georgia

Jennifer Wallace practices at Modivcare Solutions in Atlanta, Georgia.

Jennifer Wallace's NPI, 1205483849, was assigned on August 19, 2019.

NPI and contact details
NPI enumeration date
August 19, 2019
NPI status
Active
Practice phone
(800) 486-7647
Professional email
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Personal email
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Mobile number
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Sex
Female

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data

Jennifer Wallace practices at Modivcare Solutions in Atlanta, Georgia

Jennifer Wallace's primary practice is Modivcare Solutions, at 1275 Peachtree NE St, Atlanta, GA 30309 in Fulton County. The practice phone is (800) 486-7647.

  • Modivcare Solutions
    1275 Peachtree NE St, Atlanta, GA 30309 · Fulton CountyPhone(800) 486-7647

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Jennifer Wallace is affiliated with 2 sites of care and 1 medical group

Jennifer Wallace's primary practice is Modivcare Solutions in Atlanta, Georgia. The medical group on file is Tarzana Treatment Centers. Dmand AI also links Jennifer Wallace to 1 more community health center, named with a free account.

See all 3 affiliations for Jennifer Wallace

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Jennifer Wallace's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Jennifer Wallace practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Modivcare SolutionsAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Jennifer Wallace is one of 46 addiction (substance use disorder) counselors in Georgia

Counselor is Jennifer Wallace's primary specialty in the NPI Registry, under taxonomy code 101YA0400X. The record also lists addiction (substance use disorder).

Specialties and state licenses

  • Addiction (substance use disorder) counselorPrimaryLicense CI21770419 · taxonomy 101YA0400X

Addiction (substance use disorder) counselors near Jennifer Wallace

Counts of addiction (substance use disorder) counselors with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Jennifer Wallace's patients have a median age of 50

Across all payers, Dmand AI patient panel data puts Jennifer Wallace's median patient age at 50, with 0% women.

Jennifer Wallace's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 50

Patient panel by sex, all payers

  • Women0%
  • Men100%

Source: Dmand AI Patient Panel Data

Sources for Jennifer Wallace's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Jennifer Wallace

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Jennifer Wallace's NPI number?

Jennifer Wallace's NPI number is 1205483849. It was assigned on August 19, 2019, and it is active in the NPI Registry.

What does Jennifer Wallace specialize in?

Jennifer Wallace is an addiction (substance use disorder) counselor in Atlanta, Georgia. The primary specialty in the NPI Registry is Addiction (Substance Use Disorder) Counselor (taxonomy code 101YA0400X).

Where does Jennifer Wallace practice?

Jennifer Wallace practices at 1275 Peachtree NE St, Atlanta, GA 30309. Jennifer Wallace's primary practice is Modivcare Solutions in Atlanta, Georgia. Dmand AI also links Jennifer Wallace to 1 community health center.

What is Jennifer Wallace's office phone number?

The practice phone on file for Jennifer Wallace is (800) 486-7647.

What medical group is Jennifer Wallace part of?

Jennifer Wallace is linked to Tarzana Treatment Centers.

How long has Jennifer Wallace been practicing?

Jennifer Wallace's NPI was assigned in 2019.

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