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KIMBERLY WALLACE LPC LLC
NPI 1659987238
Counselor - Professional in Marietta, GA

Active since September 19, 2020
2852 JOHNSON FERRY RD STE 100, MARIETTA, GA 30062(404) 906-9831 Get Directions Write a Review

NPPES record last updated: November 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 24, 2023, Jul 6, 2021, Sep 19, 2020 (3 updates tracked since 2020).

About Kimberly Wallace Lpc Llc NPPES

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

KIMBERLY WALLACE LPC LLC (NPI 1659987238) is a healthcare organization registered as a professional in Marietta, Georgia and active in the NPI registry since September 2020. The organization lists Kimberly Wallace, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1659987238
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameKIMBERLY WALLACE LPC LLC
Location Address2852 JOHNSON FERRY RD STE 100Marietta, GA 30062-5686
Mailing Address2852 Johnson Ferry Rd Ste 100Marietta, GA 30062-5686 · (404) 906-9831
Phone(404) 906-9831
Organization SubpartNo
Authorized OfficialKimberly WallaceOwner/provider · (404) 906-9831
Enumeration DateSeptember 19, 2020
Last NPPES UpdateNovember 24, 20233 updates tracked since enumeration
NPPES CertifiedNovember 24, 2023
✔ NPI 1659987238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2852 JOHNSON FERRY RD STE 100, Marietta, GA 30062
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KIMBERLY WALLACE LPC
Counselor (Professional)
2852 JOHNSON FERRY RD STE 100
MARIETTA, GA 30062
Cobb County (404) 906-9831
RELATIONAL CHOICE COUNSELING, LLC
Community/Behavioral Health
2852 JOHNSON FERRY RD STE 100
MARIETTA, GA 30062
Cobb County (404) 482-3558

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 Kimberly Wallace Lpc LLC's NPI number?

The NPI number for Kimberly Wallace Lpc LLC is 1659987238. It was assigned to this organization in the NPPES registry on September 19, 2020.

Where is Kimberly Wallace Lpc LLC located?

Kimberly Wallace Lpc LLC is located at 2852 Johnson Ferry Rd Ste 100, Marietta, GA 30062. The listed phone number is (404) 906-9831.

What is Kimberly Wallace Lpc LLC'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 Kimberly Wallace Lpc LLC was last updated on November 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.