Provider Demographics
NPI:1689942096
Name:WALKER, LATOYIA LOCKE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LATOYIA
Middle Name:LOCKE
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:LATOYIA
Other - Middle Name:LOCKE
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 242776
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36124-2776
Mailing Address - Country:US
Mailing Address - Phone:334-669-0232
Mailing Address - Fax:
Practice Address - Street 1:466 RIVER OAKS DR
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36092-3057
Practice Address - Country:US
Practice Address - Phone:334-669-0232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2886101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALI16556Medicare UPIN