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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA WALLACE

Active Organization

LISA WALLACE is a Mental Health Counselor organization located in OLYMPIA FIELDS, Illinois. NPI 1427463405 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · OLYMPIA FIELDS, IL

Registration Details

NPI Number
1427463405
Provider Type
Organization
NPI Issued
Jun 27, 2014 (11.986060165326 yrs)
Last Updated
Jun 27, 2014
Licenses
180.008731 (IL)
180.008731 (IL)
180.008731 (IL)
180.008731 (IL)
180.008731 (IL)

Practice Information

Address
20200 GOVERNORS DR
107
OLYMPIA FIELDS, IL, 604611032
Browse IL providers · Browse ZIP 60461
Phone
7084624235
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Pastoral Counselor
Additional Specialty
Professional Counselor
Additional Specialty
Marriage & Family Therapist

Other Mental Health Counselor Organizations in OLYMPIA FIELDS, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.