Provider Demographics
NPI:1518505031
Name:WALKER, SANDRA MCNEIL (RMHCI)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:MCNEIL
Last Name:WALKER
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 W LAKE MARY BLVD STE 214
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32773-7424
Mailing Address - Country:US
Mailing Address - Phone:407-347-6387
Mailing Address - Fax:888-217-4124
Practice Address - Street 1:520 W LAKE MARY BLVD STE 214
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32773-7424
Practice Address - Country:US
Practice Address - Phone:407-347-6387
Practice Address - Fax:888-217-4124
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH16731101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health