HAROLD WAYNE WALLACE LPC NPI 1699045302

NPI Information

  • NPI: 1699045302
  • Provider Name: HAROLD WAYNE WALLACE, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 21 WALLBROOK TRL
    ODESSA, TX
    ZIP 79762
  • Phone: (432) 550-4563

Map and Directions

Get Directions

NPI Details

Harold Wayne Wallace, LPC is a mental health counselor in Odessa, TX. Harold Wayne Wallace, LPC NPI is 1699045302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21 WALLBROOK TRL
ODESSA, TX
ZIP 79762-213
Phone: (432) 550-4563

The enumeration date for this NPI number is 1/11/2012 and was last updated on 1/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health10091TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.