MEDICARE: ABBY WALLS LPCC-S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	C2203941	OH

General Provider Information

NPI Number	:	1013508829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBY WALLS LPCC-S

Provider Business Mailing Address
First Line	:	1370 N FAIRFIELD RD STE B
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45432-2682
Country	:	US
Telephone Number	:	937-910-8739
Fax Number	:

Provider Business Practice Location Address
First Line	:	1370 N FAIRFIELD RD STE B
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45432-2682
Country	:	US
Telephone Number	:	937-910-8739
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2021
Last Update Date	:	01/06/2026

Similar Medicare Providers

1164411245 — JENNIFER L MANN LCSW
Practice Location Address:

2403 PINE KNOTT DR
BEAVERCREEK, OH
45431-2682

Practice Phone: 937-429-9133
Practice Fax:

1548137425 — SKYY DOS-REIS
Practice Location Address:

1545 MARSETTA DR
BEAVERCREEK, OH
45432-2732

Practice Phone: 937-373-4237
Practice Fax:

1376486076 — JESSICA CONGER
Practice Location Address:

1411 N FAIRFIELD RD
BEAVERCREEK, OH
45432-2637

Practice Phone: 937-426-2686
Practice Fax:

1578566386 — DR. DAVID K STEWART O.D.
Practice Location Address:

3351 DAYTON XENIA RD
BEAVERCREEK, OH
45432-2763

Practice Phone: 937-429-0266
Practice Fax: 937-429-9022

1851399414 — JACK R. PENCE II MD
Practice Location Address:

1911 N FAIRFIELD RD , SUITE 300
BEAVERCREEK, OH
45432-2762

Practice Phone: 937-429-7352
Practice Fax: 937-429-3772

1659371292 — MS. PATRICIA A KANIUGA LPCC
Practice Location Address:

1411 N FAIRFIELD RD
BEAVERCREEK, OH
45432-2658

Practice Phone: 937-426-2686
Practice Fax:

Directions to “ ABBY WALLS LPCC-S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.