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LACEY L WALLACE
NPI 1669197638
Counselor in Charlotte, NC

Active since October 11, 2022
6926 SHANNON WILLOW RD STE 400, CHARLOTTE, NC 28226(704) 981-2190 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lacey L Wallace NPPES

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

LACEY L WALLACE (NPI 1669197638) is an individual counselor in Charlotte, North Carolina and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1669197638
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLACEY L WALLACE
Location Address6926 SHANNON WILLOW RD STE 400Charlotte, NC 28226-1335
Mailing Address6926 Shannon Willow Rd Ste 400Charlotte, NC 28226-1335
Phone(704) 981-2190
Sole ProprietorNo
Enumeration DateOctober 11, 2022
NPPES CertifiedOctober 11, 2022
✔ NPI 1669197638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
6926 SHANNON WILLOW RD STE 400, Charlotte, NC 28226
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Other Providers at the Same Location NPPES 2

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

MARIAH LOWE LCSW
Social Worker (Clinical)
6926 SHANNON WILLOW RD STE 400
CHARLOTTE, NC 28226
Mecklenburg County (704) 981-2190
MADISON KIRSTEN GABRIEL BS
Counselor
6926 SHANNON WILLOW RD STE 400
CHARLOTTE, NC 28226
Mecklenburg County (704) 343-5005

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 Lacey Wallace's NPI number?

The NPI number for Lacey Wallace is 1669197638. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Lacey Wallace located?

Lacey Wallace practices at 6926 Shannon Willow Rd Ste 400, Charlotte, NC 28226. The listed phone number is (704) 981-2190.

What is Lacey Wallace's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Lacey Wallace was last updated on October 11, 2022. 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.