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

O'Keith Wallace, BS, MS, CAMS11

Individual provider Counselor · NPI 1316560659

O'Keith Wallace, BS, MS, CAMS11 is a Counselor in Lilburn, Georgia. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

4830 Lawrenceville Hwy NW Ste 2B
Lilburn, GA 30047-3812
Phone: (770) 676-9216
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1316560659
Entity typeIndividual (Type 1)
GenderMale
Credentials BS , MS , CAMS11
Sole proprietorYes
NPI enumeratedMay 21, 2020
Last updated in NPPESMay 21, 2020
Certification dateMay 21, 2020

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