Provider Demographics
NPI:1174283519
Name:WALKER COUNSELING & WELLNESS, LLC
Entity Type:Organization
Organization Name:WALKER COUNSELING & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LPCC
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:III
Authorized Official - Credentials:LPCC
Authorized Official - Phone:937-387-8080
Mailing Address - Street 1:8529 N DIXIE DR STE 150
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-2476
Mailing Address - Country:US
Mailing Address - Phone:937-387-8080
Mailing Address - Fax:
Practice Address - Street 1:8529 N DIXIE DR STE 150
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-2476
Practice Address - Country:US
Practice Address - Phone:937-387-8080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-27
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0289697Medicaid
OH1588153902OtherNPI