Provider Demographics
NPI:1952054702
Name:WALKER, NADIA NATASHA (MENTAL HEALTH COACH)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:NATASHA
Last Name:WALKER
Suffix:
Gender:F
Credentials:MENTAL HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 WARRENVILLE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-4315
Mailing Address - Country:US
Mailing Address - Phone:331-290-0315
Mailing Address - Fax:
Practice Address - Street 1:650 WARRENVILLE RD STE 100
Practice Address - Street 2:
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-4315
Practice Address - Country:US
Practice Address - Phone:331-290-0315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-01
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171400000XOther Service ProvidersHealth & Wellness Coach