Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY LOVE WALLACE, M. ED.
Active Sole ProprietorKELLY LOVE WALLACE, M. ED. is a Professional Counselor healthcare provider located in EDMOND, Oklahoma. NPI 1124675749 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · EDMOND, OK
Registration Details
- NPI Number
- 1124675749
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2019 (6.9623396967265 yrs)
- Last Updated
- Aug 27, 2021
- License
-
77947 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2817 STONEBROOK RDEDMOND, OK, 730032105Browse OK providers · Browse ZIP 73003
- Phone
- 2146003503
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in EDMOND, OK
| Name | Credential | NPI |
|---|---|---|
| CHRISTINA MARIE PRATHER SKINNER | LPC | 1790770006 |
| MOREEN FOSTER | LPC | 1881655348 |
| MR. JOHN TIMOTHY HAST | MED LPC | 1346295383 |
| MRS. CYNTHIA LYNN COLLINS-CLARK | LPC | 1609822725 |
| SHELDON DEAN ADKINS | M.ED. | 1487695763 |
| MS. CATHY SUE DUNN | LPC, LMFT, NCC | 1326081027 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.