Provider Demographics
NPI:1477630630
Name:WALTERS, FRANCES (LPA, LMFT)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:WALTERS
Suffix:
Gender:F
Credentials:LPA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1970 W ARLINGTON BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5783
Mailing Address - Country:US
Mailing Address - Phone:252-752-0300
Mailing Address - Fax:252-439-5323
Practice Address - Street 1:1970 W ARLINGTON BLVD
Practice Address - Street 2:STE A
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5783
Practice Address - Country:US
Practice Address - Phone:252-752-0300
Practice Address - Fax:252-439-5323
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6107017Medicaid
135PAOtherBCBS PROVIDER NUMBER