LISA ANNE WALLACE (NPI# 1710521968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710521968 |
| Entity Type | Individual |
| Full Name | LISA ANNE WALLACE |
| Credential | MA, LPC, NCC, CCNHC |
| Practice Address |
418 Barr Rd Lexington SC 29072-2363 |
| Mailing Address |
300 Palmetto Park Blvd Apt 216 Lexington SC 29072-7877 |
| Practice Telephone | 8037074945 |
| Mailing Telephone | 8037074945 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
7291 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368064 | Lisa Jean Wallace | Occupational Therapy Assistant | 480 Somerset St Unit 1, North Plainfield, NJ 07060-4018 | 2020-05-28 |
| 1336779925 | Lisa Wallace | Counselor | 2769 Iris Ave Ste 107, Boulder, CO 80304-4405 | 2020-01-22 |
| 1598225930 | Lisa Buckner Wallace | Counselor | 3750 N Center St, Hickory, NC 28601-8089 | 2019-03-21 |
| 1235637182 | Lisa M. Wallace | Nurse Practitioner | 800 E Cheves St Ste 200, Florence, SC 29506-2651 | 2018-01-25 |
| 1134575475 | Lisa Wallace | Counselor | 14 Farmer Rd, Milton, MA 02186-3743 | 2016-05-05 |
| 1720476641 | Lisa Wallace | Registered Nurse | 7601 Hospital Dr Ste 202, Sacramento, CA 95823-5408 | 2014-12-30 |
| 1134438286 | Lisa M Wallace | Nurse Practitioner | 831 N Theatre Drive, Marion, IN 46952-1701 | 2010-10-06 |
| 1124002571 | Lisa M Wallace | Counselor | 1807 Capitol Ave, Suite 101 A, Cheyenne, WY 82001-4544 | 2005-11-30 |
| 1003423658 | Lisa Carol Wallace | Nurse Practitioner | 2418 180th St, Allerton, IA 50008-8715 | 2020-09-28 |
| 1992368872 | Lisa Wallace | Licensed Practical Nurse | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-04-17 |
| Street Address |
418 BARR RD |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
| 1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
| Find all providers in zip 29072 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383693 | Bowlight Partners LLC | Counselor | 32 Edgewood Rd, Lexington, MA 02420-3500 | 2020-10-13 |
| 1306450739 | Rebeca Griffith | Counselor | 304 Grey Oaks Ct, Lexington, SC 29072-7418 | 2020-09-02 |
| 1164034294 | Ashlyn Brooke Bordelon | Counselor | 113 Ivy Hill Ct, Lexington, SC 29072-8054 | 2020-08-19 |
| 1720698897 | Tracy Mae Springate | Counselor | 750 Shaker Dr Apt 202, Lexington, KY 40504-3725 | 2020-08-04 |
| 1760090724 | Statera Counseling, LLC | Counselor | 281 Governors Grant Blvd, Lexington, SC 29072-8826 | 2020-07-16 |
| 1396361374 | Courtney Scott | Counselor | 1666 Massachusetts Ave Fl 2, Lexington, MA 02420-5313 | 2020-06-24 |
| 1144846684 | A Better Way | Counselor | 366 Waller Ave Ste 213, Lexington, KY 40504-2921 | 2020-06-21 |
| 1366067381 | Kadie Ann Bourgoin | Counselor | 230 White Oleander Dr, Lexington, SC 29072-7037 | 2020-06-15 |
| 1629690672 | Summit Counseling Center | Counselor | 145 Burt Rd Ste 19, Lexington, KY 40503-2401 | 2020-05-13 |
| 1083240709 | Seung Hee Oh | Counselor | 7 Stedman Rd Apt 301, Lexington, MA 02421-7133 | 2020-03-13 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.