Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Love Wallace, MED

Individual provider Professional Counselor · NPI 1124675749

Kelly Love Wallace, MED is a Professional Counselor in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2019
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2817 Stonebrook Rd
Edmond, OK 73003-2105
Phone: (214) 600-3503
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 77947 (TX)

Record details

NPI number1124675749
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED
Sole proprietorYes
NPI enumeratedAugust 19, 2019
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021

Other providers in Edmond