NPI age
1 years
Enumerated 2024-06-04
● Active
Type 1 · Individual
Kimberley R Wallace, LCDC
Wallace is 1 of 47 counselor providers in Longview and 1 of 2629 in Texas.
Primary specialty
Counselor
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-06-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2629 active counselor providers in Texas.
NPI age
1 years
↓ 6 yr below median (7 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-06Enumerated in NPPES
2024
2026
Where they practice
Practice location
107 Woodbine Pl
Longview, TX 756012912
Mailing address
107 Woodbine Pl
Longview, TX 756012912
Specialties
-
Counselor PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 45 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new counselor providers have been added in Longview in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.