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Lisa Wallace
Marriage & Family Therapist in Olympia Fields, Illinois
NPI 1427463405

Lisa Wallace is a Marriage & Family Therapist based in Steger, IL. Lisa Wallace practices in Olympia Fields, IL. The NPI Number for Lisa Wallace is 1427463405 and holds a License No. 180.008731 (Illinois).

The current practice location address for Lisa Wallace is 20200 Governors Dr, Olympia Fields, IL and can be reached out via phone at 708-462-4235.

Location: 20200 Governors Dr, Olympia Fields, IL, 60475-1499
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427463405
Provider Name
Lisa Wallace
Credential
Provider Entity Type
Organization
Address
20200 Governors Dr, Olympia Fields, IL, 60475-1499
Phone Number
708-462-4235
Fax Number
Provider Enumeration Date
06/27/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
20200 Governors Dr
City
Olympia Fields
State
Illinois
Zip
60461-1032
Phone Number
708-462-4235
Fax Number
person
Provider Business Mailing Address Details
Address
20200 Governors Dr
City
Olympia Fields
State
Illinois
Zip
60461-1032
Phone Number
708-462-4235
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
180.008731 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
180.008731 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
180.008731 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
180.008731 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180.008731 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
180.008731 (Illinois)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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