Kimberly Wallace LPC LLC
Kimberly Wallace LPC LLC is a Professional Counselor in Marietta, Georgia. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2852 Johnson Ferry Rd Ste 100Marietta, GA 30062-5686
Phone: (404) 906-9831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1659987238 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kimberly Wallace — Owner/Provider · (404) 906-9831 |
| NPI enumerated | September 19, 2020 |
| Last updated in NPPES | November 24, 2023 |
| Certification date | November 24, 2023 |
| Mailing address | 2852 Johnson Ferry Rd Ste 100, Marietta, GA 30062-5686 |
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