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

Mrs. Lacey Jo Wallace, MS, PLPC

Individual provider Mental Health Counselor · NPI 1710461868

Mrs. Lacey Jo Wallace, MS, PLPC is a Mental Health Counselor in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

2131 S Eastgate Ave
Springfield, MO 65809-2146
Phone: (417) 763-3309
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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 2017030034 (MO)

Record details

NPI number1710461868
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PLPC
Sole proprietorNo
NPI enumeratedSeptember 24, 2018
Last updated in NPPESSeptember 24, 2018

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