Provider Demographics
NPI:1598917627
Name:PARKER-WALKER, ARNISE OCTAVIA (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:ARNISE
Middle Name:OCTAVIA
Last Name:PARKER-WALKER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35384 MUER CV
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-2027
Mailing Address - Country:US
Mailing Address - Phone:248-592-5955
Mailing Address - Fax:248-592-5955
Practice Address - Street 1:29260 FRANKLIN RD
Practice Address - Street 2:SUITE 128
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1161
Practice Address - Country:US
Practice Address - Phone:248-355-3301
Practice Address - Fax:248-355-3392
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401005841101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional