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CAROLYN ANN WALLACE LCADC
NPI 1306470455
Counselor - Addiction (Substance Use Disorder) in Louisville, KY

Active since February 27, 2020
2600 W BROADWAY, LOUISVILLE, KY 40211(502) 690-4286 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2020, Feb 27, 2020 (2 updates tracked since 2020).

About Carolyn Ann Wallace Lcadc NPPES

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

CAROLYN ANN WALLACE LCADC (NPI 1306470455) is an individual addiction (substance use disorder) provider in Louisville, Kentucky, licensed in Kentucky (260417) and active in the NPI registry since February 2020. She maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1306470455
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCAROLYN ANN WALLACECredential: LCADC
Location Address2600 W BROADWAYLouisville, KY 40211-1366
Mailing Address323 N 42nd StLouisville, KY 40212-2747 · (502) 356-8210
Phone(502) 690-4286
Sole ProprietorYes
Enumeration DateFebruary 27, 2020
Last NPPES UpdateMay 6, 20202 updates tracked since enumeration
NPPES CertifiedMay 6, 2020
✔ NPI 1306470455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in KY · 260417
2600 W BROADWAY, Louisville, KY 40211
Open in Google Maps ↗

Secondary Practice Location 1

Location 1323 N 42nd StLouisville, KY 40212-2747 · Phone (502) 356-8210

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 3

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

MR. WILLIAM GOLDWAIR
Physical Therapy Assistant
2600 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 742-2300
BRENDA CLAY STONER
Chiropractor (Rehabilitation)
2600 W BROADWAY, SUITE 208
LOUISVILLE, KY 40211
Jefferson County (502) 742-2300
ADAM FAUVER
Counselor (Professional)
2600 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 819-8355

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 Carolyn Wallace's NPI number?

The NPI number for Carolyn Wallace is 1306470455. It was assigned to this individual provider in the NPPES registry on February 27, 2020.

Where is Carolyn Wallace located?

Carolyn Wallace practices at 2600 W Broadway, Louisville, KY 40211. The listed phone number is (502) 690-4286.

What is Carolyn Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Carolyn Wallace accept?

Health plans from Providence Health Plan list Carolyn Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Wallace was last updated on May 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.