Individual provider · Type 1 NPI

Amy Wallis, LPC

Mental Health Counselor · Moore, OK

NPI number 1780930370 Active

Practice location

620 NW 5th St Ste D
Moore, OK 73160-3947

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6156 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1780930370

Amy Wallis, LPC's National Provider Identifier is 1780930370, issued on Aug 1, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moore, OK. The record was last updated on Feb 22, 2023.