JUANITA WALLACE
NPI 1326164278
Counselor - Mental Health in Florissant, MO

Q: What is Juanita Wallace's NPI number?

The NPI number for Juanita Wallace is 1326164278. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Q: What is Juanita Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Juanita Wallace was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 22, 2007

570 SHACKELFORD RD, FLORISSANT, MO 63031(314) 583-0549 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Juanita Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUANITA WALLACE (NPI 1326164278) is an individual mental health provider in Florissant, Missouri, licensed in Missouri (2002006418) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1326164278

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJUANITA WALLACE

Location Address570 SHACKELFORD RDFlorissant, MO 63031-5457

Mailing Address570 Shackelford Rd, RoadFlorissant, MO 63031-5457 · (314) 583-0549

Phone(314) 583-0549

Sole ProprietorYes

Enumeration DateMarch 22, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1326164278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MO · 2002006418

570 SHACKELFORD RD, Florissant, MO 63031

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juanita Wallace's NPI number?

The NPI number for Juanita Wallace is 1326164278. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Juanita Wallace located?

Juanita Wallace practices at 570 Shackelford Rd, Florissant, MO 63031. The listed phone number is (314) 583-0549.

What is Juanita Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Juanita Wallace was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.