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

Mary Wallace, MS, LPC

Individual provider Mental Health Counselor · NPI 1255116893

Mary Wallace, MS, LPC is a Mental Health Counselor in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2023
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

21252 Gathering Oak Ste 106
San Antonio, TX 78260-3392
Phone: (830) 730-6090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 91155 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence 91155 (TX)

Record details

NPI number1255116893
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPC
Sole proprietorYes
NPI enumeratedAugust 30, 2023
Last updated in NPPESJune 22, 2025
Certification dateJune 22, 2025

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