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

Landon Wallace

Individual provider Mental Health Counselor · NPI 1174108682

Landon Wallace is a Mental Health Counselor in Lexington, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2021

Practice location Address checks out

305 Palmetto Park Blvd
Lexington, SC 29072-7872
Phone: (803) 996-1500
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8287 (SC)

Record details

NPI number1174108682
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 16, 2021
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023

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