Mary Etheridge Wallace is a Elizabeth City, North Carolina based counselor who is specialized as Professional Counselor. Active license number of Mary Etheridge Wallace is 12837 for Professional Counselor in North Carolina. Her current practice location is 303 E. Main Street Suite 9, Elizabeth City. Patients can book an appointment with her at 252-619-6629.
Mary Etheridge 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:
Mary Etheridge 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:
Mary Etheridge Wallace
Specialization:
Professional Counselor
Gender:
Female
Credentials:
LPC
Accepts Medicare Assignment:
No
Practice Address:
303 E. Main Street Suite 9, Elizabeth City, North Carolina, 27909
Phone:
252-619-6629
Fax:
252-331-2499
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:
1801136809
NPI Enumeration Date:
27 Feb, 2013
NPI Last Update On:
06 Sep, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Etheridge Wallace are as mentioned below.
License Number
Specialization
State
Status
12837
Professional Counselor
North Carolina
Primary
0701005385
Professional Counselor
Virginia
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
303 E. Main Street Suite 9, Elizabeth City, North Carolina
Zip:
27909-4452
Phone Number:
252-619-6629
Fax Number:
252-331-2499
Patients can reach Mary Etheridge Wallace at 303 E. Main Street Suite 9, Elizabeth City, North Carolina or can call to book an appointment on 252-619-6629. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.