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

Mrs. Mitzi D. Wallen, LPC

Individual provider Mental Health Counselor · NPI 1629330667

Mrs. Mitzi D. Wallen, LPC is a Mental Health Counselor in Goose Creek, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2012
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

105 Central Ave Unit 4
Goose Creek, SC 29445
Phone: (310) 874-0166
Fax: (843) 761-7308
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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 5771 (SC)
Mental Health Counselor Taxonomy 101YM0800X
Mental Health Counselor Taxonomy 101YM0800X · Licence 5771 (SC)

Record details

NPI number1629330667
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 14, 2012
Last updated in NPPESDecember 23, 2024

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