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LANDON WALLACE
NPI 1174108682
Counselor - Mental Health in Lexington, SC

Active since March 16, 2021
305 PALMETTO PARK BLVD, LEXINGTON, SC 29072(803) 996-1500 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Landon Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANDON WALLACE (NPI 1174108682) is an individual mental health provider in Lexington, South Carolina, licensed in South Carolina (8287) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1174108682
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLANDON WALLACE
Location Address305 PALMETTO PARK BLVDLexington, SC 29072-7872
Mailing Address108 Palmetto Park BlvdLexington, SC 29072-7968 · (803) 996-1500
Phone(803) 996-1500
Sole ProprietorYes
Enumeration DateMarch 16, 2021
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1174108682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in SC · 8287
305 PALMETTO PARK BLVD, Lexington, SC 29072
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUSTIN TY CHRISTIAN MSW
Social Worker
305 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 996-1500
MARILYN ROGERS JONES RN
Registered Nurse
305 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 996-1500
TIERA BRIANNA BROWN LISW-CP
Social Worker
305 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 996-1500
SHALONDA YASMIN HAYES BS
Counselor (Mental Health)
305 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 359-7206
RAWLE DAVID RAGOONATH
Counselor (Mental Health)
305 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 359-7206
AMERICA FERNANDEZ-GAMBOA
Counselor (Mental Health)
305 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 359-7206
KATRISE MOTON
Counselor (Mental Health)
305 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 359-7206
YOAN IVAYLOV PENEV
Counselor (Mental Health)
305 PALMETTO PARK BLVD
LEXINGTON, SC 29072
Lexington County (803) 359-7291

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Landon Wallace's NPI number?

The NPI number for Landon Wallace is 1174108682. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Where is Landon Wallace located?

Landon Wallace practices at 305 Palmetto Park Blvd, Lexington, SC 29072. The listed phone number is (803) 996-1500.

What is Landon Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Landon Wallace was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.