Provider Demographics
NPI:1831377597
Name:WALKER, ALIMAH T (LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:ALIMAH
Middle Name:T
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:LEE
Other - Middle Name:
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, NCC
Mailing Address - Street 1:5719 OGONTZ AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-1212
Mailing Address - Country:US
Mailing Address - Phone:215-327-1867
Mailing Address - Fax:
Practice Address - Street 1:25 WASHINGTON LN STE 6A2
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-1426
Practice Address - Country:US
Practice Address - Phone:215-327-1867
Practice Address - Fax:773-632-0572
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014940101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional