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

Marisa Wallace, LPC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316417439

Marisa Wallace, LPC is a Student in an Organized Health Care Education/Training Program in Mentor, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

7232 Justin Way
Mentor, OH 44060-4881
Phone: (440) 578-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 23780 Farringdon Ave, Euclid, OH 44123-1537 — (216) 240-1111

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C.190690 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316417439
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedDecember 1, 2018
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022
Mailing address7232 Justin Way, Mentor, OH 44060-4881

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