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

Lisa Wallace

Individual provider Mental Health Counselor · NPI 1992125892

Lisa Wallace is a Mental Health Counselor in Jacksonville, Florida. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

2392 Edgewood Ave N
Jacksonville, FL 32254-1725
Phone: (904) 781-0600
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1992125892
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 18, 2014
Last updated in NPPESMarch 26, 2015

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