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

Candice Waller, LPC-MHSP

Individual provider Mental Health Counselor · NPI 1588138911

Candice Waller, LPC-MHSP is a Mental Health Counselor in Tucson, Arizona. Practices as a sole proprietor and works from 3 locations. Licensed in Arizona and Tennessee.

Licensed in
AZ, TN
In the registry since
2019
Specialties on file
2

Practice location Address checks out

5055 E Broadway Blvd Ste C104
Tucson, AZ 85711-3641
Phone: (520) 623-9833
Fax: (520) 923-9083
Show map & directions

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

Additional practice locations (2)

  • 7670 N Star Grass Dr, Tucson, AZ 85741-4952 — (678) 925-6598
  • 2856 Bridle Creek Dr Sw, Conyers, GA 30094-5677 — (678) 925-6598

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-19614 (AZ)
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC0000004067 (TN)

Record details

NPI number1588138911
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-MHSP
Sole proprietorYes
NPI enumeratedJanuary 18, 2019
Last updated in NPPESJune 13, 2022
Certification dateJune 10, 2022

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