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MRS. LACEY JO WALLACE MS, PLPC
NPI 1710461868
Counselor - Mental Health in Springfield, MO

Active since September 24, 2018
2131 S EASTGATE AVE, SPRINGFIELD, MO 65809(417) 763-3309 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Lacey Jo Wallace Ms, Plpc NPPES

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

MRS. LACEY JO WALLACE MS, PLPC (NPI 1710461868) is an individual mental health provider in Springfield, Missouri, licensed in Missouri (2017030034) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1710461868
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. LACEY JO WALLACECredential: MS, PLPC
Location Address2131 S EASTGATE AVESpringfield, MO 65809-2146
Mailing Address2131 S Eastgate AveSpringfield, MO 65809-2146 · (417) 763-3309
Phone(417) 763-3309
Sole ProprietorNo
Enumeration DateSeptember 24, 2018
✔ NPI 1710461868 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 MO · 2017030034
2131 S EASTGATE AVE, Springfield, MO 65809
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

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

MRS. REBECCA J BARRATT
Counselor (Professional)
2131 S EASTGATE AVE
SPRINGFIELD, MO 65809
Greene County (417) 763-3309
VANESSA M CONTI
Counselor (Mental Health)
2131 S EASTGATE AVE
SPRINGFIELD, MO 65809
Greene County (855) 593-4357
MRS. RACHELLE L COLEGROVE
Counselor (Professional)
2131 S EASTGATE AVE
SPRINGFIELD, MO 65809
Greene County (417) 763-3309
MR. BRIAN DALE SOUTH
Counselor (Professional)
2131 S EASTGATE AVE
SPRINGFIELD, MO 65809
Greene County (417) 763-3309
JOSEPH MCKINNEY LCSW
Social Worker (Clinical)
2131 S EASTGATE AVE
SPRINGFIELD, MO 65809
Greene County (855) 593-4357
SEPTEMBER KATHARINE TRENT PLPC
Counselor (Professional)
2131 S EASTGATE AVE
SPRINGFIELD, MO 65809
Greene County (417) 763-3309
MR. JESSE MASSON MA, LPC
Counselor (Professional)
2131 S EASTGATE AVE
SPRINGFIELD, MO 65809
Greene County (855) 593-4357
MRS. MELISSA CAROLINE ABELLO
Counselor (Professional)
2131 S EASTGATE AVE
SPRINGFIELD, MO 65809
Greene County (417) 763-3309

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 1710461868. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Where is Lacey Wallace located?

Lacey Wallace practices at 2131 S Eastgate Ave, Springfield, MO 65809. The listed phone number is (417) 763-3309.

What is Lacey 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 Lacey Wallace was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.