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HAROLD WAYNE WALLACE LPC
NPI 1699045302
Counselor - Mental Health in Odessa, TX

Active since January 11, 2012
21 WALLBROOK TRL, ODESSA, TX 79762(432) 550-4563 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Harold Wayne Wallace Lpc NPPES

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

HAROLD WAYNE WALLACE LPC (NPI 1699045302) is an individual mental health provider in Odessa, Texas, licensed in Texas (10091) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1699045302
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameHAROLD WAYNE WALLACECredential: LPC
Location Address21 WALLBROOK TRLOdessa, TX 79762-5213
Mailing Address21 Wallbrook TrlOdessa, TX 79762-5213 · (432) 550-4563
Phone(432) 550-4563
Sole ProprietorYes
Enumeration DateJanuary 11, 2012
✔ NPI 1699045302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 10091
21 WALLBROOK TRL, Odessa, TX 79762
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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 Harold Wallace's NPI number?

The NPI number for Harold Wallace is 1699045302. It was assigned to this individual provider in the NPPES registry on January 11, 2012.

Where is Harold Wallace located?

Harold Wallace practices at 21 Wallbrook Trl, Odessa, TX 79762. The listed phone number is (432) 550-4563.

What is Harold 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 Harold Wallace was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.