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MARA WALLACE LPC
NPI 1508544883
Counselor - Professional in Elizabeth, PA

Active since July 07, 2023
95 ENTERPRISE ST STE 104, ELIZABETH, PA 15037(412) 754-1100 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mara Wallace Lpc NPPES

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

MARA WALLACE LPC (NPI 1508544883) is an individual professional provider in Elizabeth, Pennsylvania, licensed in Pennsylvania (PC015793) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1508544883
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARA WALLACECredential: LPC
Location Address95 ENTERPRISE ST STE 104Elizabeth, PA 15037-2070
Mailing Address95 Enterprise St Ste 104Elizabeth, PA 15037-2070 · (412) 754-1100
Phone(412) 754-1100
Sole ProprietorNo
Enumeration DateJuly 7, 2023
NPPES CertifiedJuly 7, 2023
✔ NPI 1508544883 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 PA · PC015793
95 ENTERPRISE ST STE 104, Elizabeth, PA 15037
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Other Providers at the Same Location NPPES 15

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

MS. ISABEL KATE MASSELLA MS
Counselor (Mental Health)
95 ENTERPRISE ST STE 104
ELIZABETH, PA 15037
Allegheny County (412) 754-1100
TRISSA RHEA GUSTOVICH CRNP
Nurse Practitioner (Psychiatric/Mental Health)
95 ENTERPRISE ST STE 104
ELIZABETH, PA 15037
Allegheny County (412) 754-1100
MR. SHAUN DALE MEWES LMHP
Counselor (Professional)
95 ENTERPRISE ST STE 104
ELIZABETH, PA 15037
Allegheny County (412) 754-1100
ELIZABETH ANN POLOVINA
Counselor (Professional)
95 ENTERPRISE ST STE 104
ELIZABETH, PA 15037
Allegheny County (412) 754-1100
CONNOR PAOLETTI MS, NCC, LPC
Counselor (Mental Health)
95 ENTERPRISE ST STE 104
ELIZABETH, PA 15037
Allegheny County (412) 754-1100
JOCELYN L DYTKO LSW
Social Worker
95 ENTERPRISE ST STE 104
ELIZABETH, PA 15037
Allegheny County (412) 754-1100
MEGAN PHELAN
Counselor (Mental Health)
95 ENTERPRISE ST STE 104
ELIZABETH, PA 15037
Allegheny County (412) 754-1100
MIRANDA MAKKAR LCSW
Social Worker (Clinical)
95 ENTERPRISE ST STE 104
ELIZABETH, PA 15037
Allegheny County (412) 754-1100

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 Mara Wallace's NPI number?

The NPI number for Mara Wallace is 1508544883. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Where is Mara Wallace located?

Mara Wallace practices at 95 Enterprise St Ste 104, Elizabeth, PA 15037. The listed phone number is (412) 754-1100.

What is Mara 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 Mara Wallace was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.