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

MS. Susan Wallace

Individual provider Health & Wellness Coach · NPI 1386508422

MS. Susan Wallace is a Health & Wellness Coach in Fort Mill, South Carolina. Licensed in South Carolina. Registered with an NPI since 2025.

Licensed in
SC
In the registry since
2025
Specialties on file
2

Practice location Address checks out

122 Clebourne St
Fort Mill, SC 29715-1753
Phone: (704) 931-1010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence COU10796 (SC)
Health & Wellness Coach Taxonomy 171400000X (SC)

Record details

NPI number1386508422
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 12, 2025
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

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