Individual
MRS. MYRIAH DAWN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
212 WASHINGTON AVE # 245, WEST PLAINS, MO 65775-9998
(417) 580-9774
Mailing address
PO BOX 245, WEST PLAINS, MO 65775-0245
(417) 257-4999
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2011008967
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011008967
—
MO
Enumeration date
02/23/2011
Last updated
03/25/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us