Individual provider · Type 1 NPI

Fannie Beatrice Wallace, LPC

Professional Counselor · Hot Springs, AR

NPI number 1730628074 Active

Practice location

180 Medical Park Pl
Hot Springs, AR 71901-8065

Fax (501) 359-3010

Mailing address

PO Box 497
Augusta, AR 72006-0497

Other practice locations

  • 104 Sonnet St, Hot Springs, AR 71913-4437 · (501) 553-5539

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XA2005077 (AR)
Professional Counselor Primary 101YP2500XP2205002 (AR)

Professional Counselor: Definition to come...

6 other providers at this address

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About NPI 1730628074

Fannie Beatrice Wallace, LPC's National Provider Identifier is 1730628074, issued on Feb 20, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hot Springs, AR. The record was last updated on May 20, 2026.