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

Nicole Broadway Wallace, LPCC

Individual provider Professional Counselor · NPI 1821311606

Nicole Broadway Wallace, LPCC is a Professional Counselor in Killeen, Texas. Practices as a sole proprietor. Licensed in California and Texas.

Licensed in
CA, TX
In the registry since
2010
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

207 Belo Dr
Killeen, TX 76542-5598
Phone: (254) 630-7450
Fax: (254) 853-4241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 9626 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence 19501 (TX)

Record details

NPI number1821311606
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorYes
NPI enumeratedMarch 8, 2010
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

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