Mary Wallace, M.S, LPC

NPI 1255116893 · on the registry since 2023 · sole proprietor

Practice

Address: 21252 Gathering Oak Ste 106
San Antonio, TX 78260
Phone: (830) 730-6090
Organisation at this address: Michelle Anson Md Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 101YM0800X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-06-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas