Angela Wallace, LPC
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2018
- Practice locations
- 2
- Practice address
- 11166 Tesson Ferry Rd Suite 300 Suite 300, Saint Louis, MO 63123-6966
- Practice phone
- Call (314) 802-2647
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Provident Behavioral Health
Behavioral health practice · Saint Louis, Missouri
Find Angela Wallace's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Angela Wallace is a professional counselor in Panama City, Florida
Angela Wallace practices at Provident Behavioral Health in Saint Louis, Missouri.
Angela Wallace's NPI, 1417435819, was assigned on July 30, 2018. Angela Wallace holds Missouri license 2016034902.
- NPI
- 1417435819NPI Registry (opens in a new tab)
- Medicare PAC ID
- 1850735150
- NPI enumeration date
- July 30, 2018
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (314) 802-2647
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 36
- Medical school graduation
- 2016
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Angela Wallace practices in Saint Louis and Panama City
Angela Wallace's primary practice is Provident Behavioral Health, at 11166 Tesson Ferry Rd Suite 300 Suite 300, Saint Louis, MO 63123-6966. The practice phone is (314) 802-2647. The NPI Registry lists Angela Wallace's practice address as 615 N Bonita Ave, Panama City, FL 32401.
- Provident Behavioral HealthPrimary11166 Tesson Ferry Rd Suite 300 Suite 300, Saint Louis, MO 63123-6966Phone(314) 802-2647
- NPI Registry address615 N Bonita Ave, Panama City, FL 32401 · Bay County
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data
Angela Wallace is affiliated with 1 site of care and 1 medical group
Angela Wallace's primary practice is Provident Behavioral Health in Saint Louis, Missouri. The medical group on file is Provident Behavioral Health.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Angela Wallace's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Angela Wallace practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Provident Behavioral Health | Available with a free account |
Source: Dmand AI Technology Install Data
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Angela Wallace is one of 736 professional counselors in Florida
Professional is Angela Wallace's primary specialty in the NPI Registry, under taxonomy code 101YP2500X. Angela Wallace is licensed in Missouri.
Specialties and state licenses
- Professional counselor, MissouriPrimary
Professional counselors near Angela Wallace
Counts of professional counselors with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Angela Wallace's patients have a median age of 41
Across all payers, Dmand AI patient panel data puts Angela Wallace's median patient age at 41, with 100% women.
Angela Wallace's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 41
Patient panel by sex, all payers
- Women100%
- Men0%
Source: Dmand AI Patient Panel Data
How Angela Wallace takes part in Medicare
Angela Wallace accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Angela Wallace's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Angela Wallace
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Angela Wallace's NPI number?
Angela Wallace's NPI number is 1417435819. It was assigned on July 30, 2018, and it is active in the NPI Registry.
What does Angela Wallace specialize in?
Angela Wallace is a professional counselor in Panama City, Florida. The primary specialty in the NPI Registry is Professional Counselor (taxonomy code 101YP2500X).
Where does Angela Wallace practice?
Angela Wallace practices at 11166 Tesson Ferry Rd Suite 300 Suite 300, Saint Louis, MO 63123-6966. Angela Wallace also practices at 615 N Bonita Ave, Panama City, FL 32401. Angela Wallace's primary practice is Provident Behavioral Health in Saint Louis, Missouri.
What is Angela Wallace's office phone number?
The practice phone on file for Angela Wallace is (314) 802-2647.
What is Angela Wallace's medical license number?
Angela Wallace holds Missouri license 2016034902.
What medical group is Angela Wallace part of?
Angela Wallace is linked to Provident Behavioral Health.
Does Angela Wallace accept Medicare?
Yes. CMS lists Angela Wallace as accepting Medicare assignment.
How long has Angela Wallace been practicing?
Angela Wallace graduated from medical school in 2016, 10 years ago.
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