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

Formecia Wallace, MS, MA, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1518423045

Formecia Wallace, MS, MA, LCAS-A is an Addiction (Substance Use Disorder) Counselor in Williamston, North Carolina. Licensed in North Carolina. Registered with an NPI since 2019.

Licensed in
NC
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

618 E Blvd
Williamston, NC 27892-2736
Phone: (252) 792-0659
Fax: (252) 792-0660
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 25169 (NC)

Record details

NPI number1518423045
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , MA , LCAS-A
Sole proprietorNo
NPI enumeratedFebruary 20, 2019
Last updated in NPPESMarch 5, 2019

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