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

Nicole Janeen Wallace, LCMHC

Individual provider Professional Counselor · NPI 1154820868

Nicole Janeen Wallace, LCMHC is a Professional Counselor in Raleigh, North Carolina. Practices as a sole proprietor and works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2018

Practice location Address checks out

3041 Berks Way Ste 102C
Raleigh, NC 27614-6777
Phone: (919) 925-2274
Fax: (919) 820-8571
Show map & directions

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

Additional practice locations (2)

  • 174 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 — (919) 618-6526
  • 7906 Hogan Dr, Wake Forest, NC 27587-6659 — (919) 306-2579

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A13547 (NC)

Record details

NPI number1154820868
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorYes
NPI enumeratedFebruary 8, 2018
Last updated in NPPESJanuary 5, 2021
Certification dateJanuary 5, 2021

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