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

Lisa Ellen Wallace

Individual provider Marriage & Family Therapist · NPI 1649101585

Lisa Ellen Wallace is a Marriage & Family Therapist in Los Angeles, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

2116 Arlington Ave Ste 100
Los Angeles, CA 90018-1300
Phone: (323) 344-9000
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 162788 (CA)

Record details

NPI number1649101585
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

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