KIMBERLY WALLACE LPC LLC
NPI 1659987238
Counselor - Professional in Marietta, GA
- Organization
- Counselor
- Professional
About KIMBERLY WALLACE LPC LLC
This page provides the complete NPI Profile along with additional information for Kimberly Wallace Lpc Llc, a provider established in Marietta, Georgia operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1659987238 assigned on September 2020. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Kimberly Wallace Lpc (Owner/provider)
- NPI
- 1659987238 Verify this NPI
- Provider Name
- KIMBERLY WALLACE LPC LLC
- Entity Type
- Organization
- Location Address
- 2852 JOHNSON FERRY RD STE 100 MARIETTA, GA 30062
- Location Phone
- (404) 906-9831
- Mailing Address
- 2852 JOHNSON FERRY RD STE 100 MARIETTA, GA 30062
- Mailing Phone
- (404) 906-9831
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-19-2020
- Last Update Date
- 11-24-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
MARIETTA, GA 30062
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659987238, enumerated as an "organization" on September 19, 2020.
The provider is located at 2852 JOHNSON FERRY RD STE 100 MARIETTA, GA 30062 and the phone number is (404) 906-9831.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
