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MRS. MITZI D. WALLEN LPC
NPI 1629330667
Counselor - Professional in Goose Creek, SC

Active since June 14, 2012
105 CENTRAL AVE UNIT 4, GOOSE CREEK, SC 29445(310) 874-0166(843) 761-7308 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Mitzi D. Wallen Lpc NPPES

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

MRS. MITZI D. WALLEN LPC (NPI 1629330667) is an individual professional provider in Goose Creek, South Carolina, licensed in South Carolina (5771) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1629330667
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MITZI D. WALLENCredential: LPC
Location Address105 CENTRAL AVE UNIT 4Goose Creek, SC 29445
Mailing Address448 Brick Kiln DrSummerville, SC 29483 · (310) 874-0166 · Fax (843) 761-7308
Phone(310) 874-0166
Fax(843) 761-7308
Sole ProprietorYes
Enumeration DateJune 14, 2012
Last NPPES UpdateDecember 23, 2024
✔ NPI 1629330667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 5771
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 5771 (SC)
105 CENTRAL AVE UNIT 4, Goose Creek, SC 29445
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Other Names 1

Former Name (1)Mitzi Danielle Goldstein Ma

Other Identifiers 1

OtherMA COUNSELORMA · Bh Social Service

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Mitzi Wallen's NPI number?

The NPI number for Mitzi Wallen is 1629330667. It was assigned to this individual provider in the NPPES registry on June 14, 2012. The provider is also known as Mitzi Danielle Goldstein Ma.

Where is Mitzi Wallen located?

Mitzi Wallen practices at 105 Central Ave Unit 4, Goose Creek, SC 29445. The listed phone number is (310) 874-0166.

What is Mitzi Wallen's specialty?

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

What insurance does Mitzi Wallen accept?

Health plans from UnitedHealthcare list Mitzi Wallen 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 Mitzi Wallen was last updated on December 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.