Lisa M Wallace is a therapist based in Fort Collins, Colorado who is specialized in Professional 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 reach her at 970-817-4049 or can fax her at 877-833-4460. Lisa M Wallace, MA, LPC, specializes in Professional Counselor and her NPI number (Unique professional ID assigned by NPPES) is 1124002571.
Lisa M Wallace is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Practice Information
Lisa M Wallace specialty, credentials, practice address, contact phone number and fax are as below. Patients can contact the office at the given phone number for appointment.
Provider Name Lisa M Wallace
Specialization Professional Counselor
Credentials MA, LPC
Gender Female
Practice Address: 4103 E Boardwalk Drive, Suite 202 Fort Collins, CO - 80525-5930
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 Number1124002571
NPI Enumeration Date: 30 Nov, 2005
NPI Last Update On: 01 Dec, 2025
Medical Licenses:
Healthcare professionals can hold one or more medical licenses for different specialties in the same state or different states. Related medical licenses for Lisa M Wallace are as mentioned below.
License NumberSpecializationStateStatus
5913Professional Counselor
ColoradoPrimary
906Professional Counselor
WyomingSecondary
Other Medical Identifiers
Other legacy medical identifiers associated with Lisa M Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
312410OtherWyomingBS OF WY
Mailing Address
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned Practice address.
Lisa M Wallace Po Box 273338, Fort Collins, CO - 80527-3338 Phone: 970-817-4049 Fax: 877-833-4460
Book an Appointment with Lisa M Wallace
To schedule an appointment, contact Lisa M Wallace at 4103 E Boardwalk Drive, Suite 202, Fort Collins, Colorado or call on below stated phone number.
Below are some commonly asked questions about Lisa M Wallace:
Lisa M Wallace is a therapist specializing in Professional Counselor. She is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Yes, Lisa M Wallace is currently accepting new patients. To schedule an appointment, contact the office directly and schedule an appointment. *Availability may change. Please contact the office directly to ask about appointments.
Lisa M Wallace practices at 4103 E Boardwalk Drive, Suite 202, Fort Collins, Colorado, 80525-5930.
To schedule an appointment with Lisa M Wallace, please contact the office at 970-817-4049.
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