Mrs. Mitzi D. Wallen
LPC | Mental Health Counselor
105 Central Ave Unit 4, Goose Creek
South Carolina, 29445
310-874-0166 843-761-7308
Maps & DirectionsMrs. Mitzi D. Wallen is a Goose Creek, South Carolina based counselor who is specialized as Mental Health Counselor. Active license number of Mrs. Mitzi D. Wallen is 5771 for Professional Counselor in South Carolina. Her current practice location is 105 Central Ave Unit 4, Goose Creek. Patients can book an appointment with her at 310-874-0166.
Mrs. Mitzi D. Wallen 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. Mitzi D. Wallen 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. Mitzi D. Wallen |
| Specialization: | Mental Health Counselor |
| Gender: | Female |
| Credentials: | LPC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 105 Central Ave Unit 4, Goose Creek,
South Carolina, 29445 |
| Phone: | 310-874-0166 |
| Fax: | 843-761-7308 |
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: | 1629330667 |
| NPI Enumeration Date: | 14 Jun, 2012 |
| NPI Last Update On: | 23 Dec, 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 Mrs. Mitzi D. Wallen are as mentioned below.
| License Number | Specialization | State | Status | |
| 5771 | Professional Counselor | South Carolina | Primary | |
| Mental Health Counselor | | Secondary | |
| 5771 | Mental Health Counselor | South Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Mitzi D. Wallen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| MA COUNSELOR | Other | Massachusetts | BH SOCIAL SERVICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 448 Brick Kiln Dr,
Summerville, South Carolina |
| Zip: | 29483 |
| Phone Number: | 310-874-0166 |
| Fax Number: | 843-761-7308 |
Patients can reach Mrs. Mitzi D. Wallen at
105 Central Ave Unit 4, Goose Creek, South Carolina or can
call to book an appointment on 310-874-0166.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.