Provider Demographics
NPI:1477808996
Name:WALKER, ASHLEY GONEKE (MS)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:GONEKE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:NICOLE
Other - Last Name:GONEKE-WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:4160 S CAMBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-7620
Mailing Address - Country:US
Mailing Address - Phone:850-712-5775
Mailing Address - Fax:
Practice Address - Street 1:900 GARDEN GATE CIR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8629
Practice Address - Country:US
Practice Address - Phone:850-712-5775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-20
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH9277101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH11986OtherLICENSED MENTAL HEALTH COUNSELOR
FLIMH9277OtherREGISTERED MENTAL HEALTH COUNSELOR INTERN