| Nicole Broadway Wallace, LPC | |
|
207 Belo Dr, Killeen, TX 76542-5598 | |
| (254) 630-7450 | |
| (254) 853-4241 |
| Full Name | Nicole Broadway Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 207 Belo Dr, Killeen, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821311606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 19501 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Broadway Wallace, LPC 2201 S. Ws Young Dr, Suite 106-c Office 105, Killeen, TX 76543 Ph: (254) 630-7450 | Nicole Broadway Wallace, LPC 207 Belo Dr, Killeen, TX 76542-5598 Ph: (254) 630-7450 |
Destinee Devae Henderson, LPC ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Lavender Ln, Killeen, TX 76549 Phone: 254-319-8600 | |
Da Shanda Deas-davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 Alamocitos Creek Dr, Killeen, TX 76549 Phone: 254-371-0056 | |
Mr. Christopher Kent Joslin, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Southbrook Dr, Killeen, TX 76542 Phone: 254-616-6757 | |
Ms. Stacie Levine Gibson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2911 Benchmark Trl, Killeen, TX 76543 Phone: 254-535-0727 | |
Shannon Rodrigue, LPC-ASSOCIATE Counselor Medicare: Medicare Enrolled Practice Location: 14138 Tx-195, Killeen, TX 76542 Phone: 254-519-1144 | |
Mr. Gary Sosbee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 S W S Young Dr Ste 116b, Killeen, TX 76543 Phone: 254-634-2212 | |
Mrs. Eleanor Lewis Brown, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2809 W Stan Schlueter Loop Ste 101406, Killeen, TX 76549 Phone: 254-300-7837 |