Lisa Wallace is a Boulder, Colorado based counselor who is specialized as Professional Counselor. Active license number of Lisa Wallace is 0015978 for Professional Counselor in Colorado. Her current practice location is 2769 Iris Ave Ste 107, Boulder. Patients can book an appointment with her at 970-368-9185.
Lisa 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.
Complete Profile:
Lisa 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.
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:
1336779925
NPI Enumeration Date:
22 Jan, 2020
NPI Last Update On:
22 Jan, 2020
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 Wallace are as mentioned below.
License Number
Specialization
State
Status
0015978
Professional Counselor
Colorado
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
14607457
Other
Colorado
CAQH
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1600 Bradley Ct, Boulder, Colorado
Zip:
80305-7310
Phone Number:
970-389-3612
Patients can reach Lisa Wallace at 2769 Iris Ave Ste 107, Boulder, Colorado or can call to book an appointment on 970-368-9185. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.