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Stacy Lea Wallace, NCC

  • Pawnee, OK
  • Counselor
NPI1003249848
Medical group
1
State license
1
Year NPI issued
2013
Practice address
540 Illinois St, Pawnee, OK 74058
Professional email
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Personal email
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Mobile number
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Social profiles

Medical group

Headway

New York, New York

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Stacy Lea Wallace is a counselor in Pawnee, Oklahoma

Stacy Wallace practices with Headway, a medical group.

Stacy Wallace's NPI, 1003249848, was assigned on August 15, 2013.

NPI and contact details
NPI
1003249848NPI Registry (opens in a new tab)
NPI enumeration date
August 15, 2013
NPI status
Active
Professional email
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Personal email
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Mobile number
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Sex
Female

Sources: NPPES NPI Registry (CMS); and Dmand AI Professional Profile Data

Stacy Lea Wallace's practice address is in Pawnee, Oklahoma

Stacy Wallace's practice address in the NPI Registry is 540 Illinois St, Pawnee, OK 74058.

  • NPI Registry address
    540 Illinois St, Pawnee, OK 74058

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Stacy Lea Wallace is affiliated with 1 medical group

Stacy Wallace is part of Headway, a medical group in New York, New York.

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Stacy Lea Wallace's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Stacy Wallace practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
HeadwayAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Stacy Lea Wallace is one of 587 counselors in Oklahoma

Counselor is Stacy Wallace's primary specialty in the NPI Registry, under taxonomy code 101Y00000X.

Specialties and state licenses

  • CounselorPrimarytaxonomy 101Y00000X

Counselors near Stacy Wallace

Counts of counselors with a Dmand AI profile, by place and practice. Each opens the list.

587counselors in Oklahoma51counselors at Headway

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Stacy Lea Wallace's patients have a median age of 36

Across all payers, Dmand AI patient panel data puts Stacy Wallace's median patient age at 36, with 67% women.

Stacy Wallace's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 36

Patient panel by sex, all payers

  • Women67%
  • Men33%

Source: Dmand AI Patient Panel Data

Sources for Stacy Lea Wallace's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Stacy Lea Wallace

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Stacy Lea Wallace's NPI number?

Stacy Lea Wallace's NPI number is 1003249848. It was assigned on August 15, 2013, and it is active in the NPI Registry.

What does Stacy Lea Wallace specialize in?

Stacy Lea Wallace is a counselor in Pawnee, Oklahoma. The primary specialty in the NPI Registry is Counselor (taxonomy code 101Y00000X).

Where does Stacy Lea Wallace practice?

Stacy Wallace practices at 540 Illinois St, Pawnee, OK 74058. Stacy Wallace's primary practice is Headway, a medical group.

What medical group is Stacy Lea Wallace part of?

Stacy Wallace is part of Headway in New York, New York.

How long has Stacy Lea Wallace been practicing?

Stacy Wallace's NPI was assigned in 2013.

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