Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MITZI D. WALLEN, LPC
Active Sole ProprietorMRS. MITZI D. WALLEN, LPC is a Professional Counselor healthcare provider located in GOOSE CREEK, South Carolina. NPI 1629330667 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · GOOSE CREEK, SC
Registration Details
- NPI Number
- 1629330667
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2012 (14.126784953316 yrs)
- Last Updated
- Dec 23, 2024
- Licenses
-
5771 (SC)5771 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
105 CENTRAL AVE UNIT 4GOOSE CREEK, SC, 29445Browse SC providers · Browse ZIP 29445
- Phone
- 3108740166
- Fax
- 8437617308
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in GOOSE CREEK, SC
| Name | Credential | NPI |
|---|---|---|
| MARVIN L GREEN | LPC | 1508822628 |
| CARMEN A LUCERO-HAINES | LPC, CAC II | 1609972140 |
| DR. YASHICA MALANDA HOLMES-SMITH | PHD, LPC | 1215264767 |
| MRS. SHANEEN DIALS-CORUJO | MA, LPC | 1407125479 |
| MS. ELIZABETH D FRANCHINI | — | 1457744146 |
| JONI WIGGINS, LPC | M.A. | 1003288606 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.