Mrs. Connie Lee Wallace is a Dover, Ohio based counselor who is specialized as Mental Health Counselor. Active license number of Mrs. Connie Lee Wallace is E0001636-SUPV for Mental Health Counselor in Ohio. Her current practice location is 547 1/2 S James St, Ste. A, Dover. Patients can book an appointment with her at 330-343-7400.
Mrs. Connie Lee Wallace is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Mrs. Connie Lee 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:
Mrs. Connie Lee Wallace
Specialization:
Mental Health Counselor
Gender:
Female
Credentials:
LPCC-S, CTT
Accepts Medicare Assignment:
No
Practice Address:
547 1/2 S James St, Ste. A, Dover, Ohio, 44622-2137
Phone:
330-343-7400
Fax:
330-343-7414
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:
1386668200
NPI Enumeration Date:
26 Jul, 2006
NPI Last Update On:
16 Feb, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Connie Lee Wallace are as mentioned below.
License Number
Specialization
State
Status
E0001636-SUPV
Mental Health Counselor
Ohio
Primary
E0001636-SUPV
Professional Counselor
Ohio
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Connie Lee Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
741212
Medicaid
Ohio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 534, New Philadelphia, Ohio
Zip:
44663-0534
Phone Number:
330-343-7400
Fax Number:
330-343-7414
Patients can reach Mrs. Connie Lee Wallace at 547 1/2 S James St, Ste. A, Dover, Ohio or can call to book an appointment on 330-343-7400. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.