P Praxis·MD
● Active Type 1 · Individual

Nicole Broadway Wallace, LPCC

Counselor·Killeen, TX· NPI 1821311606 · Enumerated 2010 · 16 years on NPI
Wallace is 1 of 140 counselor providers in Killeen and 1 of 23131 in Texas.
NPI age
16 years
Enumerated 2010-03-08
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
CA, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 23131 active counselor providers in Texas.

NPI age
16 years
↑ 9 yr above median (7 yr)
State licenses
2 states
Top 97% — 2% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-03Enumerated in NPPES
2010 2026

Where they practice

Practice location
207 Belo Dr
Killeen, TX 765425598
📞 2546307450fax 2548534241
Mailing address
2201 S. Ws Young Dr, Suite 106-C Office 105
Killeen, TX 76543
📞 2546307450fax 2548534241

Specialties

  • Counselor Primary
    Definition to come...
    CA license #9626TX license #19501 taxonomy 101YP2500X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 5 new counselor providers have been added in Killeen in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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