Individual provider · Type 1 NPI

Lauren Wallace

Mental Health Counselor · New York, NY

NPI number 1124698261 Active

Practice location

352 7th Ave Rm 801
New York, NY 10001-5655

Call (646) 418-1172 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X013577 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1124698261

Lauren Wallace's National Provider Identifier is 1124698261, issued on Jun 30, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Sep 3, 2025.