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

Tina Marie Wallis, LPC, CPCS

Individual provider Professional Counselor · NPI 1063783462

Tina Marie Wallis, LPC, CPCS is a Professional Counselor in Dawsonville, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12 Waterfront Park Ct
Dawsonville, GA 30534-5772
Phone: (706) 490-9204
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 006897 (GA)

Record details

NPI number1063783462
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , CPCS
Sole proprietorNo
NPI enumeratedJanuary 18, 2012
Last updated in NPPESDecember 17, 2015

Other providers in Dawsonville