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

Mr. Nicholas Preston Wallace, LPC, NCC, CCMHC

Individual provider Mental Health Counselor · NPI 1356747430

Mr. Nicholas Preston Wallace, LPC, NCC, CCMHC is a Mental Health Counselor in Bossier City, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2014
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

90 Kingston Xing Apt 1506
Bossier City, LA 71111-6289
Phone: (318) 935-0105
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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 LPC #5493 (LA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC #5493 (LA)

Record details

NPI number1356747430
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , NCC , CCMHC
Sole proprietorYes
NPI enumeratedNovember 17, 2014
Last updated in NPPESJune 6, 2021
Certification dateJune 6, 2021

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