Provider Demographics
NPI:1972722486
Name:WALKERLY, HELEN FAITH (SOCIAL WORK)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:FAITH
Last Name:WALKERLY
Suffix:
Gender:F
Credentials:SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1476 ARTHUR DR
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-1534
Mailing Address - Country:US
Mailing Address - Phone:330-262-5493
Mailing Address - Fax:330-262-0705
Practice Address - Street 1:1476 ARTHUR DR
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-1534
Practice Address - Country:US
Practice Address - Phone:330-262-5493
Practice Address - Fax:330-262-0705
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 048661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical