Provider Demographics
NPI:1619479706
Name:WALKER, EUNEKA TRENIECE
Entity Type:Individual
Prefix:MISS
First Name:EUNEKA
Middle Name:TRENIECE
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 CRESTVIEW CT
Mailing Address - Street 2:
Mailing Address - City:SCHRIEVER
Mailing Address - State:LA
Mailing Address - Zip Code:70395-4200
Mailing Address - Country:US
Mailing Address - Phone:985-791-4745
Mailing Address - Fax:
Practice Address - Street 1:166 CRESTVIEW CT
Practice Address - Street 2:
Practice Address - City:SCHRIEVER
Practice Address - State:LA
Practice Address - Zip Code:70395-4200
Practice Address - Country:US
Practice Address - Phone:985-791-4745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-05
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health