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

Tracy Wallace, LGPC

Individual provider Professional Counselor · NPI 1366229874

Tracy Wallace, LGPC is a Professional Counselor in Lutherville Timonium, Maryland. Licensed in Maryland. Registered with an NPI since 2023.

Licensed in
MD
In the registry since
2023

Practice location Address checks out

9475 Deereco Rd Ste 410
Lutherville Timonium, MD 21093-2124
Phone: (410) 560-6135
Fax: (410) 560-6136
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LGP14259 (MD)

Record details

NPI number1366229874
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGPC
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 10, 2023

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