Leah Jo Wallace
LPC
Counselor - Professional
About Leah Jo Wallace
Leah Jo Wallace, LPC, is a female healthcare professional specializing in Counselor - Professional with a focus on Professional, registered under National Provider Identifier (NPI) number 1235804121. Leah Jo Wallace received her medical education at OTHER, graduating in 2021.
Their primary practice is located at 915 HIGHWAY 84 W, Caruthersville, Missouri 63830. Patients can reach the office at (573) 333-5975. Leah Jo Wallace is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.
Leah Jo Wallace has been NPI-registered since 2021.
Key Metrics
Practice Locations
1
Doctor Details
Identity & Credentials
- NPI Number
- 1235804121
- Entity Type
- Individual
- First Name
- Leah
- Last Name
- Wallace
- Credential
- LPC
- Gender
- Female
- Medical School
- OTHER
- Graduation Year
- 2021
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 915 HIGHWAY 84 W
- City
- Caruthersville
- State
- Missouri
- ZIP
- 63830-8113
- Country
- United States
- Phone
- (573) 333-5975
Specialty & Taxonomy
- Primary Specialty
- Counselor - Professional
- Classification
- Counselor
- Specialization
- Professional
- Taxonomy Code
- 101YP2500X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 935 STATE ROUTE VV
- City
- KENNETT
- State
- MO
- ZIP
- 638573822
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Leah Jo Wallace's NPI number?
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Does Leah Jo Wallace accept Medicare?
Does Leah Jo Wallace offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Leah Jo Wallace is 1235804121.