NPI age
10 years
Enumerated 2016-01-25
● Active
Type 1 · Individual
MRS. Bonita Lucille Wallace, LPC
Wallace is 1 of 989 counselor providers in Atlanta and 1 of 7547 in Georgia.
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-01-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 7547 active counselor providers in Georgia.
NPI age
10 years
≈ at median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-01Enumerated in NPPES
2016
2026
Where they practice
Practice location
550 Pharr Rd Ne, Suite 605
Atlanta, GA 303053428
Mailing address
550 Pharr Rd Ne, Suite 605
Atlanta, GA 303053428
Specialties
-
Counselor PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
Recently enumerated nearby: 24 new counselor providers have been added in Atlanta in the last 180 days.
See all →
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- 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.