Jim Wallace & Associates, INC

NPI #1043980188 in Ardmore, Oklahoma

Provider Information

NPI Number: 1043980188
Entity Type: Organization
Organization Name: Jim Wallace & Associates, INC
Subpart: Yes (part of a larger organization)
Parent Organization: JIM WALLACE & ASSOCIATES, INC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 20, 2021
Last Updated: May 31, 2025

Practice Location

Address: 301 W MAIN ST STE 103
City: Ardmore
State: Oklahoma
ZIP Code: 73401-6324
Phone: (580) 224-2830

Authorized Official

Name: TERESA GALE RUE-WALLACE, MASTERS SCIENCE
Title: OWNER/CEO/PRESIDENT/EXEC. DIRECTOR
Phone: (405) 306-8511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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