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

Keshawn Wallace, LPC-ASSOCIATE

Individual provider Professional Counselor · NPI 1407602337

Keshawn Wallace, LPC-ASSOCIATE is a Professional Counselor in Oklahoma City, Oklahoma. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

2763 W I 240 Service Rd Apt 63G
Oklahoma City, OK 73159-3784
Phone: (918) 986-5918
Show map & directions

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

Additional practice locations (1)

  • 4006 Belt Line Rd Ste 160, Addison, TX 75001-5802 — (214) 307-2183

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 101414 (TX)

Record details

NPI number1407602337
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LPC-ASSOCIATE
Sole proprietorNo
NPI enumeratedApril 30, 2024
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

Other providers in Oklahoma City