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

Amanda Wallace

Individual provider Mental Health Counselor · NPI 1770169955

Amanda Wallace is a Mental Health Counselor in Indianapolis, Indiana. Licensed in Indiana and South Carolina. Registered with an NPI since 2021.

Licensed in
IN, SC
In the registry since
2021
Specialties on file
3

Practice location Address checks out

8401 Harcourt Rd
Indianapolis, IN 46260-2073
Phone: (317) 338-4896
Fax: (317) 338-4890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 39004417A (IN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 88001290A (IN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 10594 (SC)

Record details

NPI number1770169955
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 19, 2021
Last updated in NPPESApril 19, 2025
Certification dateApril 19, 2025

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