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Active NPI 1639988959 Individual Practitioner Female Practitioner

Bethany Kate Wallace , LMT

Doula • Southington, CT

Professional Overview & Biography Verified Profile Summary

Bethany Wallace, LMT is a registered healthcare professional specializing in Doula in Southington, CT. Practice services are available at 35 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

35 N Main St

Southington, CT 064892577

Telephone 8603789659

Specialty Benchmarks & Practice Insights

Comparative analytics for Doula in Southington, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Southington, CT (140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-01
Doula Primary Specialty

NUCC Taxonomy Code: 374J00000X

Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Linda Ciotto , OTA, L

Occupational Therapy Assistant

NPI 1831935253

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active January 01, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location January 01, 2025

Registered at 35 N MAIN ST, SOUTHINGTON, CT 064892577 (Tel: 8603789659)

📍
Updated Business Mailing Address January 01, 2025

Registered at 50 LAGANA AVE, PLANTSVILLE, CT 06479 (Tel: 8603789659)

👤
Provider Name / Credentials Updated January 01, 2025

Recorded as BETHANY WALLACE, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 01, 2025

Doula

🟢
Initial NPI Registration & Enumeration January 01, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639988959
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 01, 2025
Last Update: January 01, 2025
Sole Proprietor: No
Update or Correct Profile

Mailing Address

50 Lagana Ave

Plantsville, CT 06479

Phone: 8603789659

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.