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

Carolyn Ann Wallace, LCADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1306470455

Carolyn Ann Wallace, LCADC is an Addiction (Substance Use Disorder) Counselor in Louisville, Kentucky. Practices as a sole proprietor and works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2020

Practice location Address checks out

2600 W Broadway
Louisville, KY 40211-1366
Phone: (502) 690-4286
Show map & directions

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

Additional practice locations (1)

  • 323 N 42nd St, Louisville, KY 40212-2747 — (502) 356-8210

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 260417 (KY)

Record details

NPI number1306470455
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCADC
Sole proprietorYes
NPI enumeratedFebruary 27, 2020
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020

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