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

Kaitlyn Wallace, LPC-MHSP

Individual provider Professional Counselor · NPI 1821859430

Kaitlyn Wallace, LPC-MHSP is a Professional Counselor in Chattanooga, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2024

Practice location Address checks out

1360 Mackey Branch Dr
Chattanooga, TN 37421-3225
Phone: (423) 443-3336
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6374 (TN)

Record details

NPI number1821859430
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-MHSP
Sole proprietorYes
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 16, 2024
Mailing address1360 Mackey Branch Dr, Chattanooga, TN 37421-3225

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