Individual provider · Type 1 NPI

Novlet Wallace, LPC, NCC

Mental Health Counselor · Grand Prairie, TX

NPI number 1093417636 Active

Practice location

1020 S Carrier Pkwy
Grand Prairie, TX 75051-1527

Mailing address

1106 Katelyn Ct
Irving, TX 75060-5775

Other practice locations

  • 2021 Guadalupe St, Austin, TX 78705-5654 · (646) 453-6777

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X86293 (TX)
Mental Health Counselor Primary 101YM0800X86293 (TX)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1093417636

Novlet Wallace, LPC, NCC's National Provider Identifier is 1093417636, issued on Mar 20, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Prairie, TX. The record was last updated on Dec 8, 2025.