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

Samala Wallack, LPC

Individual provider Professional Counselor · NPI 1073995866

Samala Wallack, LPC is a Professional Counselor in Saint Louis, Missouri. Licensed in Florida and Missouri. Registered with an NPI since 2015.

Licensed in
FL, MO
In the registry since
2015
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

111 W Port Plz
Saint Louis, MO 63146-3011
Phone: (816) 404-5700
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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 2015008989 (MO)
Professional Counselor Taxonomy 101YP2500X · Licence MH27069 (FL)

Record details

NPI number1073995866
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 29, 2015
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

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