Madison Wallace is a Lexington, Kentucky based counselor who is specialized as Counselor. Active license number of Madison Wallace is 260537 for Professional Counselor in Kentucky. Her current practice location is 450 Old Vine St Ste 305, Lexington. Patients can book an appointment with her at 859-667-4301.
Madison Wallace is a trained and licensed mental health professional who helps individuals, couples, or groups manage and overcome emotional, psychological, behavioral, or relationship challenges. She works with people dealing with anxiety, depression, mood disorders, trauma, post-traumatic stress disorder (PTSD), grief and loss etc. She support her clients by understanding their thoughts, emotions, and behaviors.
Complete Profile:
Madison 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: | Madison Wallace |
| Specialization: | Counselor |
| Gender: | Female |
| Credentials: | LPCC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 450 Old Vine St Ste 305, Lexington,
Kentucky, 40507-1544 |
| Phone: | 859-667-4301 |
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: | 1205378031 |
| NPI Enumeration Date: | 10 Nov, 2016 |
| NPI Last Update On: | 19 Nov, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Madison Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| 260537 | Professional Counselor | Kentucky | Primary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Madison Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1790731081 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1351 Newtown Pike, Building 5
Lexington, Kentucky |
| Zip: | 40511-1275 |
Patients can reach Madison Wallace at
450 Old Vine St Ste 305, Lexington, Kentucky or can
call to book an appointment on 859-667-4301.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.