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LISA WALLACE
NPI 1427463405
Counselor - Mental Health in Olympia Fields, IL

Active since June 27, 2014
20200 GOVERNORS DR, 107, OLYMPIA FIELDS, IL 60461(708) 462-4235 Get Directions Write a Review

NPPES record last updated: June 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Wallace NPPES

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

LISA WALLACE (NPI 1427463405) is a healthcare organization registered as a mental health in Olympia Fields, Illinois and active in the NPI registry since June 2014. The organization lists Lisa Wallace, Provider, as its authorized official.

NPPES Registry Identity

NPI1427463405
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLISA WALLACE
Location Address20200 GOVERNORS DR, 107Olympia Fields, IL 60461-1032
Mailing Address1835 W 34th StSteger, IL 60475-1499 · (708) 906-0205
Phone(708) 462-4235
Organization SubpartNo
Authorized OfficialLisa WallaceProvider · (708) 906-0205
Enumeration DateJune 27, 2014
✔ NPI 1427463405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180.008731
Also ListedCounselorTaxonomy 101Y00000X · License 180.008731 (IL)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 180.008731 (IL)
Also ListedCounselor · PastoralTaxonomy 101YP1600X · License 180.008731 (IL)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180.008731 (IL)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 180.008731 (IL)
20200 GOVERNORS DR, Olympia Fields, IL 60461
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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

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.

SERENITY GIFTED HANDS HOME HEALTH LLC
Home Health
20200 GOVERNORS DR
OLYMPIA FIELDS, IL 60461
Cook County (708) 272-2008
DR. LISA WALKER LCPC
Counselor (Mental Health)
20200 GOVERNORS DR, 107
OLYMPIA FIELDS, IL 60461
Cook County (708) 906-0205
CALM AMBITIONS PSYCHOLOGICAL SERVICES PLLC
Psychologist
20200 GOVERNORS DR
OLYMPIA FIELDS, IL 60461
Cook County (708) 634-6290
NEIGHBORHOOD PEDICATRICS SC
Pediatrics (Adolescent Medicine)
20200 GOVERNORS DR, 101
OLYMPIA FIELDS, IL 60461
Cook County (708) 481-5570
PURE ABUNDANT WELLNESS CENTER
Counselor (Professional)
20200 GOVERNORS DR, SUITE 107
OLYMPIA FIELDS, IL 60461
Cook County (708) 560-1235

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 Lisa Wallace's NPI number?

The NPI number for Lisa Wallace is 1427463405. It was assigned to this organization in the NPPES registry on June 27, 2014.

Where is Lisa Wallace located?

Lisa Wallace is located at 20200 Governors Dr 107, Olympia Fields, IL 60461. The listed phone number is (708) 462-4235.

What is Lisa 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 Lisa Wallace was last updated on June 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.