CONSTANCE WALLACE M.S., LPC
NPI 1902036452
Counselor - Mental Health in Atlanta, GA

Q: What is Constance Wallace's NPI number?

The NPI number for Constance Wallace is 1902036452. It was assigned to this individual provider in the NPPES registry on July 18, 2009.

Q: What is Constance Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Constance Wallace was last updated on July 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since July 18, 2009

1222 LINCOLN COURT AVE NE, ATLANTA, GA 30329(678) 641-4415 Get Directions Write a Review

NPPES record last updated: July 18, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Constance Wallace M.s., Lpc NPPES

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

CONSTANCE WALLACE M.S., LPC (NPI 1902036452) is an individual mental health provider in Atlanta, Georgia, licensed in Georgia (LPC005431) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1902036452

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCONSTANCE WALLACECredential: M.S., LPC

Location Address1222 LINCOLN COURT AVE NEAtlanta, GA 30329-1825

Mailing Address1222 Lincoln Court Ave NeAtlanta, GA 30329-1825 · (678) 641-4415

Phone(678) 641-4415

Sole ProprietorYes

Enumeration DateJuly 18, 2009

✔ NPI 1902036452 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 GA · LPC005431

1222 LINCOLN COURT AVE NE, Atlanta, GA 30329

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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 Constance Wallace's NPI number?

The NPI number for Constance Wallace is 1902036452. It was assigned to this individual provider in the NPPES registry on July 18, 2009.

Where is Constance Wallace located?

Constance Wallace practices at 1222 Lincoln Court Ave NE, Atlanta, GA 30329. The listed phone number is (678) 641-4415.

What is Constance 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 Constance Wallace was last updated on July 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.