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

Mary Etheridge Wallace, LPC

Individual provider Professional Counselor · NPI 1801136809

Mary Etheridge Wallace, LPC is a Professional Counselor in Elizabeth City, North Carolina. Works from 2 locations. Licensed in North Carolina and Virginia.

Licensed in
NC, VA
In the registry since
2013
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

303 E Main St Ste 9
Elizabeth City, NC 27909
Phone: (252) 619-6629
Fax: (252) 331-2499
Show map & directions

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

Additional practice locations (1)

  • 281 Independence Blvd, Virginia Beach, VA 23462-2986 — (757) 490-0377

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 12837 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 0701005385 (VA)

Record details

NPI number1801136809
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedFebruary 27, 2013
Last updated in NPPESSeptember 6, 2018

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