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

Keyonna Wallace

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1861032864

Keyonna Wallace is an Addiction (Substance Use Disorder) Counselor in Kew Gardens, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

8002 Kew Gardens Rd Ste 704
Kew Gardens, NY 11415-3607
Phone: (718) 520-1513
Show map & directions

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

Additional practice locations (1)

  • 135 W 50th St, New York, NY 10020-1201 — (212) 582-9100

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 31387 (NY)

Record details

NPI number1861032864
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 8, 2020
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020

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