P Praxis·MD
● Active Type 2 · Organization

Kimberly Wallace Lpc Llc

Counselor·Marietta, GA· NPI 1659987238 · Enumerated 2020 · 5 years on NPI
Kimberly Wallace Lpc Llc is 1 of 7547 counselor organizations in Georgia.
NPI age
5 years
Enumerated 2020-09-19
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wallace
Owner/provider
Last NPPES update
2023-11-24
Source: monthly bulk 2026-05

How this organization compares

Across 7547 active counselor providers in Georgia.

NPI age
5 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2020 → 2026

2020-09Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
2852 Johnson Ferry Rd Ste 100
Marietta, GA 300625686
📞 4049069831
Mailing address
2852 Johnson Ferry Rd Ste 100
Marietta, GA 300625686
📞 4049069831

Authorized official

Kimberly Wallace, LPC
Owner/provider
📞 4049069831

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YP2500X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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