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

Marie C Wallace, LPCC

Individual provider Mental Health Counselor · NPI 1609511278

Marie C Wallace, LPCC is a Mental Health Counselor in Carrollton, Kentucky. Qualified in 2019, 7 years ago. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2022
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

18 Brian St
Carrollton, KY 41008-8202
Phone: (150) 252-5853
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 277200 (KY)

Record details

NPI number1609511278
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedApril 28, 2022
Last updated in NPPESApril 28, 2022
Certification dateApril 28, 2022
Mailing address4229 Bardstown Rd Ste 204, Louisville, KY 40218-4271

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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