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KESHAWN WALLACE LPC-ASSOCIATE
NPI 1407602337
Counselor - Professional in Oklahoma City, OK

Active since April 30, 2024
2763 W I 240 SERVICE RD APT 63G, OKLAHOMA CITY, OK 73159(918) 986-5918 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2026, Apr 30, 2024 (2 updates tracked since 2024).

About Keshawn Wallace Lpc-associate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KESHAWN WALLACE LPC-ASSOCIATE (NPI 1407602337) is an individual professional provider in Oklahoma City, Oklahoma, licensed in Texas (101414) and active in the NPI registry since April 2024. The provider maintains a secondary practice location in Addison.

NPPES Registry Identity

NPI1407602337
Entity TypeIndividual
Primary Taxonomy101YP2500X
Provider Legal NameKESHAWN WALLACECredential: LPC-ASSOCIATE
Location Address2763 W I 240 SERVICE RD APT 63GOklahoma City, OK 73159-3784
Mailing Address2763 W I 240 Service Rd Apt 63gOklahoma City, OK 73159-3784 · (918) 986-5918
Phone(918) 986-5918
Sole ProprietorNo
Enumeration DateApril 30, 2024
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1407602337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 101414
2763 W I 240 SERVICE RD APT 63G, Oklahoma City, OK 73159
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Secondary Practice Location 1

Location 14006 Belt Line Rd Ste 160Addison, TX 75001-5802 · Phone (214) 307-2183

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keshawn Wallace's NPI number?

The NPI number for Keshawn Wallace is 1407602337. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Keshawn Wallace located?

Keshawn Wallace practices at 2763 W I 240 Service Rd Apt 63G, Oklahoma City, OK 73159. The listed phone number is (918) 986-5918.

What is Keshawn Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Keshawn Wallace was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.