IndividualActive
Bonita Wallace, LPC
NPI 1912364787 · Professional Counselor · Atlanta, GA
Bonita Wallace, LPC is a Professional Counselor provider in Atlanta, GA (NPI 1912364787).
Provider details
- NPI number
- 1912364787
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1823 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% 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
550 Pharr Rd Ne
Suite 605
Atlanta, GA 30305-3428
Phone: (404) 664-6398
Fax: (678) 705-2758
Street-level locationGet directions
Mailing address
550 Pharr Rd Ne
Atlanta, GA 30305-3428
Registry dates
- Enumerated
- 2016-01-25
- Last updated
- 2016-01-25
Frequently asked questions
- What is Bonita Wallace's NPI number?
- Bonita Wallace's National Provider Identifier (NPI) is 1912364787, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bonita Wallace's specialty?
- Bonita Wallace is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Bonita Wallace located?
- Bonita Wallace's practice location on file with NPPES is 550 Pharr Rd Ne, Atlanta, GA 30305-3428.
- What is Bonita Wallace's phone number?
- The practice phone number listed in the NPPES registry for Bonita Wallace is (404) 664-6398.
- Is Bonita Wallace's NPI active?
- Yes — Bonita Wallace's NPI (1912364787) is active in the NPPES registry as of the last update on 2016-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.