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

Lisa A Wallace

Individual provider Mental Health Counselor · NPI 1609155571

Lisa A Wallace is a Mental Health Counselor in Durant, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
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Practice location Address checks out

1604 N Washington Ave
Durant, OK 74701-2128
Phone: (580) 920-0909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1609155571
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 10, 2011
Last updated in NPPESAugust 10, 2011
Mailing address1604 N Washington Ave, Durant, OK 74701-2128

Other providers in Durant