Provider Demographics
NPI:1134353824
Name:WALKER, TROY ZAKARI (CADC-I, PRSS-S)
Entity type:Individual
Prefix:MR
First Name:TROY
Middle Name:ZAKARI
Last Name:WALKER
Suffix:
Gender:M
Credentials:CADC-I, PRSS-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 N DURANGO DR APT 1115
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7295
Mailing Address - Country:US
Mailing Address - Phone:504-881-7846
Mailing Address - Fax:
Practice Address - Street 1:700 W VAN BUREN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-3043
Practice Address - Country:US
Practice Address - Phone:504-881-7846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPRSS-SUP-5097175T00000X
NV07795-I101YA0400X
225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No175T00000XOther Service ProvidersPeer Specialist
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)