Provider Demographics
NPI:1033986989
Name:WALKER, ALEXIS (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 BRAMBLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-1741
Mailing Address - Country:US
Mailing Address - Phone:214-998-6782
Mailing Address - Fax:
Practice Address - Street 1:3960 BROADWAY BLVD STE 250
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-8345
Practice Address - Country:US
Practice Address - Phone:469-969-0422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88607101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health