Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Sam Loc Wallace, LPC

Individual provider Professional Counselor · NPI 1811169451

Mr. Sam Loc Wallace, LPC is a Professional Counselor in Fayetteville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2008
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1845 N Green Acres Rd
Fayetteville, AR 72703-2615
Phone: (479) 957-8546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence P0702007 (AR)

Record details

NPI number1811169451
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedMarch 24, 2008
Last updated in NPPESApril 8, 2015
Mailing address1845 N Green Acres Rd, Fayetteville, AR 72703-2615

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