What is Lisa Wallace's NPI number?

Lisa Wallace's National Provider Identifier (NPI) is 1609155571, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Lisa Wallace's specialty?

Lisa Wallace is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Lisa Wallace located?

Lisa Wallace's practice location on file with NPPES is 1604 N Washington Ave, Durant, OK 74701-2128.

What is Lisa Wallace's phone number?

The practice phone number listed in the NPPES registry for Lisa Wallace is (580) 920-0909.

Is Lisa Wallace's NPI active?

Yes — Lisa Wallace's NPI (1609155571) is active in the NPPES registry as of the last update on 2011-08-10.

IndividualActive

Lisa Wallace

NPI 1609155571 · Mental Health Counselor · Durant, OK

Lisa Wallace is a Mental Health Counselor provider in Durant, OK (NPI 1609155571).

Provider details

NPI number: 1609155571
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(74/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1604 N Washington Ave

Durant, OK 74701-2128

Phone: (580) 920-0909

Street-level locationGet directions

More OK providers

Mailing address