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.
| Name: | Lisa Wallace |
| Specialization: | Professional Counselor |
| Gender: | Female |
| Credentials: | LPC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2769 Iris Ave Ste 107, Boulder,
Colorado, 80304-4405 |
| Phone: | 970-368-9185 |
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: | 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.