Lisa M Wallace is a Fort Collins, Colorado based counselor who is specialized as Mental Health Counselor. Active license number of Lisa M Wallace is 5913 for Professional Counselor in Colorado. Her current practice location is 4103 E Boardwalk Drive, Suite 202, Fort Collins. Patients can book an appointment with her at 970-817-4049.
Lisa M Wallace is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Lisa M Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Lisa M Wallace
Specialization:
Mental Health Counselor
Gender:
Female
Credentials:
MA, LPC
Accepts Medicare Assignment:
No
Practice Address:
4103 E Boardwalk Drive, Suite 202, Fort Collins, Colorado, 80525-5930
Phone:
970-817-4049
Fax:
877-833-4460
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1124002571
NPI Enumeration Date:
30 Nov, 2005
NPI Last Update On:
15 Mar, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa M Wallace are as mentioned below.
License Number
Specialization
State
Status
5913
Professional Counselor
Colorado
Primary
906
Mental Health Counselor
Wyoming
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa M Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
312410
Other
Wyoming
BS OF WY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 273338, Fort Collins, Colorado
Zip:
80527-3338
Phone Number:
970-817-4049
Fax Number:
877-833-4460
Patients can reach Lisa M Wallace at 4103 E Boardwalk Drive, Suite 202, Fort Collins, Colorado or can call to book an appointment on 970-817-4049. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.