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MS. SUSAN WALLACE
NPI 1386508422
Counselor - Mental Health in Fort Mill, SC

Active since December 12, 2025
122 CLEBOURNE ST, FORT MILL, SC 29715(704) 931-1010 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 22, 2025, Dec 12, 2025 (2 updates tracked since 2025).

About Ms. Susan Wallace NPPES

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

MS. SUSAN WALLACE (NPI 1386508422) is an individual mental health provider in Fort Mill, South Carolina, licensed in South Carolina (COU10796) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1386508422
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SUSAN WALLACE
Location Address122 CLEBOURNE STFort Mill, SC 29715-1753
Mailing Address335 Kennebel PlFort Mill, SC 29715-4101 · (980) 613-1443
Phone(704) 931-1010
Sole ProprietorNo
Enumeration DateDecember 12, 2025
Last NPPES UpdateDecember 22, 20252 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1386508422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in SC · COU10796
Also ListedHealth and Wellness CoachTaxonomy 171400000X
122 CLEBOURNE ST, Fort Mill, SC 29715
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Other Providers at the Same Location NPPES 5

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

REBECCA MATTHEWS
Counselor (Professional)
122 CLEBOURNE ST
FORT MILL, SC 29715
York County (704) 931-1010
LAUREN VITEK
Counselor (Mental Health)
122 CLEBOURNE ST
FORT MILL, SC 29715
York County (704) 931-1010
IMANI RENTZ
Counselor (Mental Health)
122 CLEBOURNE ST
FORT MILL, SC 29715
York County (704) 931-1010
LELLE F TOTH
Counselor (Professional)
122 CLEBOURNE ST
FORT MILL, SC 29715
York County (704) 931-1010
WENDY KING WARDLAW MA LPC
Counselor (Professional)
122 CLEBOURNE ST
FORT MILL, SC 29715
York County (704) 931-1010

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 Susan Wallace's NPI number?

The NPI number for Susan Wallace is 1386508422. It was assigned to this individual provider in the NPPES registry on December 12, 2025.

Where is Susan Wallace located?

Susan Wallace practices at 122 Clebourne St, Fort Mill, SC 29715. The listed phone number is (704) 931-1010.

What is Susan 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 Susan Wallace was last updated on December 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.