Provider Demographics
NPI:1811387335
Name:WALKER, SHAMEKA (LPC)
Entity Type:Individual
Prefix:
First Name:SHAMEKA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 ASBELL ST # 625
Mailing Address - Street 2:
Mailing Address - City:IRWINTON
Mailing Address - State:GA
Mailing Address - Zip Code:31042-2556
Mailing Address - Country:US
Mailing Address - Phone:478-254-1759
Mailing Address - Fax:
Practice Address - Street 1:259 NORTHWIND CIR
Practice Address - Street 2:
Practice Address - City:MC INTYRE
Practice Address - State:GA
Practice Address - Zip Code:31054-2165
Practice Address - Country:US
Practice Address - Phone:478-251-5653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-04
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC010964101YM0800X
GAAPC005582101YP2500X
171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171W00000XOther Service ProvidersContractor