Provider Demographics
NPI:1821362187
Name:MARTIN-WALKER, SHELIA D (BS, CAS)
Entity Type:Individual
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First Name:SHELIA
Middle Name:D
Last Name:MARTIN-WALKER
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Gender:F
Credentials:BS, CAS
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Mailing Address - Street 1:291 PLANTATION CENTRE DR N
Mailing Address - Street 2:APT. 1601
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-9201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6601 ZEBULON RD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31220-7606
Practice Address - Country:US
Practice Address - Phone:478-477-3383
Practice Address - Fax:478-475-9492
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAC-4467101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)