Provider Demographics
NPI:1184400830
Name:WALKER, ULIZABETH MONIQUE (LPC)
Entity type:Individual
Prefix:
First Name:ULIZABETH
Middle Name:MONIQUE
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 1:7749 PARKWOOD PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76137-4383
Mailing Address - Country:US
Mailing Address - Phone:817-657-4554
Mailing Address - Fax:
Practice Address - Street 1:405 AIRPORT FWY STE 2
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-5334
Practice Address - Country:US
Practice Address - Phone:682-237-9106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84961101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health