Lisa M Wallace MA, LPC

  • NPI 1124002571
According to our database, the NPI number for Lisa M Wallace MA, LPC is 1124002571 and activated since 18 years ago. Lisa M Wallace MA, LPC is an individual provider who specializes in Mental Health, and the primary practice location is 4103 E Boardwalk Drive, Fort Collins, CO 80525. You can also contact Lisa M Wallace MA, LPC via telephone number is (970) 817-4049. Provider NPI information was last updated on 03/15/2021.

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Overview of Lisa M Wallace MA, LPC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 11/30/2005
  • Last updated: 03/15/2021

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: 906
  • License State: WY

Provider Mailing Address

  • Address: Po Box 273338
    Fort Collins, CO 80527
  • Phone: 970-817-4049
  • Fax: 877-833-4460

Provider Practice Location

  • Address: 4103 E Boardwalk Drive
    Suite 202
    Fort Collins, CO 80525
  • Phone: 970-817-4049
  • Fax: 877-833-4460

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: 906
  • License State: WY
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 312410
  • Identifier Type: Other
  • Identifier State: WY
  • Issuer: BS OF WY

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Lisa M Wallace MA, LPC?
  • A: The npi number for Lisa M Wallace MA, LPC is 1124002571.
  • Q: What are Lisa M Wallace MA, LPC's specialties?
  • A: Lisa M Wallace MA, LPC's specialties are Mental Health and different specialities.
  • Q: What is the medical license for Lisa M Wallace MA, LPC?
  • A: The medical license number for Lisa M Wallace MA, LPC is 906 and issued in WY in USA.
  • Q: Where is Lisa M Wallace MA, LPC practice location?
  • A: Lisa M Wallace MA, LPC is practicing at 4103 E Boardwalk Drive, Fort Collins, CO 80525.
  • Q: How to contact Lisa M Wallace MA, LPC?
  • A: You can contact Lisa M Wallace MA, LPC via 970-817-4049.