Provider Demographics
NPI:1649515693
Name:WALKER, CARMA (MED, LPC)
Entity type:Individual
Prefix:
First Name:CARMA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 N CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-3122
Mailing Address - Country:US
Mailing Address - Phone:972-816-2543
Mailing Address - Fax:214-222-2257
Practice Address - Street 1:105 KATHRYN DR
Practice Address - Street 2:SUITE 400
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4216
Practice Address - Country:US
Practice Address - Phone:972-816-2543
Practice Address - Fax:214-222-2257
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69429101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional