Provider Demographics
NPI:1689252900
Name:WALKER, EMILY P (ALC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:P
Last Name:WALKER
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 OFFICE PARK DR STE 290
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-3100
Mailing Address - Country:US
Mailing Address - Phone:205-515-0944
Mailing Address - Fax:
Practice Address - Street 1:402 OFFICE PARK DR STE 290
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-3100
Practice Address - Country:US
Practice Address - Phone:205-515-0944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3684A101YM0800X
AL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health