Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wallace Counseling, LLC

Organization Professional Counselor · NPI 1396028544

Wallace Counseling, LLC is a Professional Counselor in Fort Collins, Colorado. Licensed in Colorado. Registered with an NPI since 2011.

Licensed in
CO
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4103 Boardwalk Dr Unit 202
Fort Collins, CO 80525-5930
Phone: (970) 817-4049
Fax: (877) 833-4460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5913 (CO)

Record details

NPI number1396028544
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Wallace — Owner · (970) 817-4049
NPI enumeratedSeptember 23, 2011
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing addressPo Box 273338, Fort Collins, CO 80527-3338

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