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MS. DEBORAH FAYE WALLACE LCPC LICENSED CLINIC
NPI 1235999293
Counselor - Professional in Carlinville, IL

Active since March 19, 2024
18772 RT. 4, CARLINVILLE, IL 62626(217) 854-2712 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Deborah Faye Wallace Lcpc Licensed Clinic NPPES

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

MS. DEBORAH FAYE WALLACE LCPC LICENSED CLINIC (NPI 1235999293) is an individual professional provider in Carlinville, Illinois, licensed in Illinois (180.003816) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1235999293
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. DEBORAH FAYE WALLACECredential: LCPC LICENSED CLINIC
Location Address18772 RT. 4Carlinville, IL 62626
Mailing Address17232 Parkside DriveCarlinville, IL 62626 · (217) 827-0523
Phone(217) 854-2712
Sole ProprietorNo
Enumeration DateMarch 19, 2024
✔ NPI 1235999293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.003816
18772 RT. 4, Carlinville, IL 62626
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Other Names 1

Other Name (5)Ms. Deborah Faye Wallace Lcpc Mental Health T

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 Deborah Wallace's NPI number?

The NPI number for Deborah Wallace is 1235999293. It was assigned to this individual provider in the NPPES registry on March 19, 2024. The provider is also known as Ms. Deborah Faye Wallace Lcpc Mental Health T.

Where is Deborah Wallace located?

Deborah Wallace practices at 18772 Rt. 4, Carlinville, IL 62626. The listed phone number is (217) 854-2712.

What is Deborah Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Deborah Wallace was last updated on March 19, 2024. 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.