Individual provider · Type 1 NPI

Paige Wallace, LPCC-S, CCATP

Mental Health Counselor · Canton, OH

NPI number 1376157115 Active

Practice location

4522 Fulton Dr NW
Canton, OH 44718-2332

Call (330) 915-2907 Map

Fax (330) 915-2958

Other practice locations

  • 5611 Hudson Dr Ste 400, Hudson, OH 44236-4452 · (330) 915-2907
  • 4200 Munson St NW Ste A, Canton, OH 44718-2981 · (330) 915-2907

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XE.2303295-SUPV (OH)
Professional Counselor 101YP2500XE.2303295-SUPV (OH)
Counselor 101Y00000XE.2303295-SUPV (OH)

Mental Health Counselor: Definition to come...

228 other providers at this address

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About NPI 1376157115

Paige Wallace, LPCC-S, CCATP's National Provider Identifier is 1376157115, issued on Aug 31, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canton, OH. The record was last updated on Jan 21, 2026.