Provider Demographics
NPI:1568874477
Name:WALKER, LATOYA R (LPC, LCPC)
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:R
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 W 9TH ST STE 204
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64105-1705
Mailing Address - Country:US
Mailing Address - Phone:816-226-6507
Mailing Address - Fax:816-287-5557
Practice Address - Street 1:107 W 9TH ST STE 204
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64105-1705
Practice Address - Country:US
Practice Address - Phone:816-226-6507
Practice Address - Fax:816-287-5557
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-27
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2768101YP2500X
MO2014015184101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional