Provider Demographics
NPI:1386087641
Name:WALKER, LISA C (LCPC)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:C
Last Name:WALKER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1062 W MERCURY BLVD UNIT 7103
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-1011
Mailing Address - Country:US
Mailing Address - Phone:240-676-2093
Mailing Address - Fax:
Practice Address - Street 1:3 E PINTO CT
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-5303
Practice Address - Country:US
Practice Address - Phone:443-216-9531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701014967101YM0800X
MDLC11218101YP2500X, 101YP2500X
MDLGP9334101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health