Provider Demographics
NPI:1598233769
Name:ALEXANDER WALKER, ZOIE AMBER (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ZOIE
Middle Name:AMBER
Last Name:ALEXANDER WALKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:ZOIE
Other - Middle Name:AMBER
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:330B PELHAM RD STE 210
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-3116
Mailing Address - Country:US
Mailing Address - Phone:864-832-2040
Mailing Address - Fax:
Practice Address - Street 1:330B PELHAM RD STE 210
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-3116
Practice Address - Country:US
Practice Address - Phone:864-832-2040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-06
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC301100Medicaid