Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE BROADWAY WALLACE, LPCC
Active Sole ProprietorNICOLE BROADWAY WALLACE, LPCC is a Professional Counselor healthcare provider located in KILLEEN, Texas. NPI 1821311606 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · KILLEEN, TX
Registration Details
- NPI Number
- 1821311606
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 8, 2010 (16.396079603322 yrs)
- Last Updated
- Jun 23, 2025
- Licenses
-
19501 (TX)9626 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
207 BELO DRKILLEEN, TX, 765425598Browse TX providers · Browse ZIP 76542
- Phone
- 2546307450
- Fax
- 2548534241
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in KILLEEN, TX
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE R SIMON | MS, LPC, LPA | 1295728657 |
| DONNA MAE BETTY TWAIT | LPC | 1437110178 |
| MS. LYNN YVONNE DOWLING | MS, LPC | 1366405425 |
| ANA ROSA DELGADO | LPC CAS | 1831156702 |
| MS. DEBORAH ANN WELSH | LPC | 1336190750 |
| CAMILLE T JOHNSTON | LPC | 1649221797 |
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.