Provider Demographics
NPI:1235463696
Name:WALKER, CHASITY (LPC)
Entity Type:Individual
Prefix:
First Name:CHASITY
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8309 NW 139TH TER
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-1933
Mailing Address - Country:US
Mailing Address - Phone:405-602-4705
Mailing Address - Fax:405-367-7148
Practice Address - Street 1:5300 N MERIDIAN AVE STE 11A
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2179
Practice Address - Country:US
Practice Address - Phone:405-602-4705
Practice Address - Fax:405-225-1408
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKW082006011Medicaid