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Provider Profile

Samala Wallack, LPC

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At a glance

About Samala Wallack

Samala Wallack, LPC is a mental health counselor based in Saint Louis, MO. Samala is also listed as specializing in professional counselor. The provider's National Provider Identifier (NPI) is 1073995866.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2004

Specialty

Credentials & Licensing

MO licenceAs reported to the NPI registry
No. 2015008989As reported
FL licenceAs reported to the NPI registry
No. MH27069As reported
NPINational Provider Identifier
1073995866Issued 2015

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Samala Wallack's specialty?

Samala Wallack is a mental health counselor in Saint Louis, MO. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Samala Wallack?

Samala Wallack is listed at 111 W Port Plz, Saint Louis, MO 63146. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Samala Wallack?

The number on file is (816) 404-5700. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Samala Wallack's NPI number?

Samala Wallack's National Provider Identifier is 1073995866. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Samala Wallack's education?

Samala Wallack attended Other, graduating in 2004. This comes from the CMS National Downloadable File.

CMS public data

How long has Samala Wallack been practicing?

Samala Wallack has 22 years experience. Calculated from a graduation year of 2004, reported in the CMS National Downloadable File.

CMS public data

Has Samala Wallack confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Samala Wallack. If this is you, claiming it is free.

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