IndividualActive
Allisha Wall, LPC
NPI 1073153052 · Professional Counselor · Saint Peters, MO
Provider details
- NPI number
- 1073153052
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2016045021 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5988 Mid Rivers Mall Dr
Saint Peters, MO 63304-7119
Phone: (636) 362-4933
Approximate (ZIP-level) locationGet directions
Mailing address
18 Meadow Ridge Dr
Saint Peters, MO 63376-3051
Registry dates
- Enumerated
- 2020-01-08
- Last updated
- 2020-01-08
- Certified
- 2020-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.