Individual provider · Type 1 NPI

Susan Wallace, LPC-A

Mental Health Counselor · Fort Mill, SC

NPI number 1386508422 Active

Practice location

1201 Carolina Pl Ste 102-A
Fort Mill, SC 29708-0014

Call (803) 402-3585 Map

Mailing address

PO Box 175
Fort Mill, SC 29716-0175

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCOU10796 (SC)
Health & Wellness Coach 171400000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386508422

Susan Wallace, LPC-A's National Provider Identifier is 1386508422, issued on Dec 12, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Mill, SC. The record was last updated on Oct 1, 2026.