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

Individual provider Mental Health Counselor · NPI 1124743984

Loran Paige Wallace, LPC is a Mental Health Counselor in Scottsdale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

10613 N Hayden Rd Ste J-103
Scottsdale, AZ 85260-5683
Phone: (281) 714-5779
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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 · Licence LPC-21109 (AZ)

Record details

NPI number1124743984
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 4, 2022
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022

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