LISA ANNE WALLACE MA, LPC, NCC, CCNHC
NPI 1710521968
Counselor - Mental Health in Lexington, SC

Active since October 31, 2019
418 BARR RD, LEXINGTON, SC 29072(803) 707-4945 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Anne Wallace Ma, Lpc, Ncc, Ccnhc NPPES

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

LISA ANNE WALLACE MA, LPC, NCC, CCNHC (NPI 1710521968) is an individual mental health provider in Lexington, South Carolina, licensed in South Carolina (7291) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1710521968
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA ANNE WALLACECredential: MA, LPC, NCC, CCNHC
Location Address418 BARR RDLexington, SC 29072-2363
Mailing Address300 Palmetto Park Blvd Apt 216Lexington, SC 29072-7877 · (803) 707-4945
Sole ProprietorYes
Enumeration DateOctober 31, 2019
NPI 1710521968 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 SC · 7291
418 BARR RD, Lexington, SC 29072

Other Providers at the Same Location NPPES 12

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

Counselor (Mental Health)
418 BARR RD
LEXINGTON, SC 29072
Counselor
418 BARR RD
LEXINGTON, SC 29072
Social Worker
418 BARR RD
LEXINGTON, SC 29072
Counselor (Mental Health)
418 BARR RD
LEXINGTON, SC 29072
Counselor (Mental Health)
418 BARR RD
LEXINGTON, SC 29072
Counselor (Professional)
418 BARR RD
LEXINGTON, SC 29072
Counselor (Professional)
418 BARR RD
LEXINGTON, SC 29072
Counselor (Professional)
418 BARR RD
LEXINGTON, SC 29072

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 Lisa Wallace's NPI number?

The NPI number for Lisa Wallace is 1710521968. It was assigned to this individual provider in the NPPES registry on October 31, 2019.

Where is Lisa Wallace located?

Lisa Wallace practices at 418 Barr Rd, Lexington, SC 29072. The listed phone number is (803) 707-4945.

What is Lisa 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 Lisa Wallace was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.