IndividualActive
Mary Wallace, LPC
NPI 1801136809 · Professional Counselor · Elizabeth City, NC
Provider details
- NPI number
- 1801136809
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- License
- 0701005385 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
303 E. Main Street Suite 9
Elizabeth City, NC 27909
Phone: (252) 619-6629
Fax: (252) 331-2499
Street-level locationGet directions
Mailing address
303 E. Main Street Suite 9
Elizabeth City, NC 27909-4452
Additional practice locations (1)
- 281 Independence BlvdSuite 326Virginia Beach, VA 23462-2986Phone: (757) 490-0377Fax: (757) 497-1327
Registry dates
- Enumerated
- 2013-02-27
- Last updated
- 2018-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.