What is O'Keith Wallace's NPI number?

O'Keith Wallace's National Provider Identifier (NPI) is 1316560659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is O'Keith Wallace's specialty?

O'Keith Wallace is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is O'Keith Wallace located?

O'Keith Wallace's practice location on file with NPPES is 4830 Lawrenceville Hwy Nw Ste 2b, Lilburn, GA 30047-3812.

What is O'Keith Wallace's phone number?

The practice phone number listed in the NPPES registry for O'Keith Wallace is (770) 676-9216.

Is O'Keith Wallace's NPI active?

Yes — O'Keith Wallace's NPI (1316560659) is active in the NPPES registry as of the last update on 2020-05-21.

IndividualActive

O'Keith Wallace, BS, MS, CAMS11

NPI 1316560659 · Counselor · Lilburn, GA

O'Keith Wallace, BS, MS, CAMS11 is a Counselor provider in Lilburn, GA (NPI 1316560659).

Provider details

NPI number: 1316560659
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Credential: BS, MS, CAMS11
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4830 Lawrenceville Hwy Nw Ste 2b

Lilburn, GA 30047-3812

Phone: (770) 676-9216

Street-level locationGet directions

More GA providers

Mailing address