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

Mr. Mike Thomas Wallace, LPC

Individual provider Mental Health Counselor · NPI 1043446420

Mr. Mike Thomas Wallace, LPC is a Mental Health Counselor in Glendale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2009
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

7075 W Bell Rd
Glendale, AZ 85308-8546
Phone: (623) 810-4959
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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 10676 (AZ)

Record details

NPI number1043446420
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedMay 30, 2009
Last updated in NPPESMay 30, 2009

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