NPI age
6 years
Enumerated 2020-05-21
● Active
Type 1 · Individual
O'Keith Wallace, BS, MS, CAMS11
Wallace is 1 of 7 counselor providers in Lilburn and 1 of 1686 in Georgia.
Primary specialty
Counselor
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2020-05-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1686 active counselor providers in Georgia.
NPI age
6 years
≈ at median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-05Enumerated in NPPES
2020
2026
Where they practice
Practice location
4830 Lawrenceville Hwy Nw Ste 2b
Lilburn, GA 300473812
Mailing address
4830 Lawrenceville Hwy Nw Ste 2b
Lilburn, GA 300473812
Specialties
-
Counselor PrimaryA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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