Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730629973 Individual Practitioner Female Practitioner

Dashawn Lm Wallace , LPC

Counselor - Professional • Canton, MI

Professional Overview & Biography Verified Profile Summary

Dashawn Wallace, LPC is a registered healthcare professional specializing in Counselor - Professional in Canton, MI. Practice services are available at 5840 N CANTON CENTER RD STE 220 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5840 N Canton Center Rd Ste 220

Canton, MI 481876717

Telephone 7349990138
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Canton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
16 Specialists

Practicing in Canton, MI (5077 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-24
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MI 170059

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 24, 2025

Registered at 5840 N CANTON CENTER RD STE 220, CANTON, MI 481876717 (Tel: 7349990138)

📍
Updated Business Mailing Address June 24, 2025

Registered at 5840 N CANTON CENTER RD STE 220, CANTON, MI 481876717 (Tel: 7349990138)

📍
Updated Business Mailing Address September 18, 2023

Registered at 13 N WASHINGTON ST, YPSILANTI, MI 481972617 (Tel: 7349990138)

📍
Updated Practice Location August 01, 2023

Registered at 13 N WASHINGTON ST, YPSILANTI, MI 481972617 (Tel: 7349990138)

NPI Profile Active March 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2017

Registered at 22190 GARRISON ST, DEARBORN, MI 481242260 (Tel: 3137695705)

📍
Updated Business Mailing Address March 07, 2017

Registered at 22190 GARRISON ST, DEARBORN, MI 481242260

👤
Provider Name / Credentials Updated March 07, 2017

Recorded as DASHAWN WALLACE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2017

Counselor (License #170059 in MI)

🟢
Initial NPI Registration & Enumeration March 07, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730629973
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2017
Last Update: June 24, 2025
Sole Proprietor: No

Mailing Address

5840 N Canton Center Rd Ste 220

Canton, MI 481876717

Phone: 7349990138

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.