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

Amy Wallis, LPC

Individual provider Mental Health Counselor · NPI 1780930370

Amy Wallis, LPC is a Mental Health Counselor in Moore, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2012
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

620 NW 5th St Ste D
Moore, OK 73160-3947
Phone: (405) 208-4469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6156 (OK)

Record details

NPI number1780930370
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedAugust 1, 2012
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023
Mailing address620 Nw 5th St Ste D, Moore, OK 73160-3947

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