Provider Demographics
NPI:1982380663
Name:TAMMY M. WALKER, LMSW, PLLC
Entity Type:Organization
Organization Name:TAMMY M. WALKER, LMSW, PLLC
Other - Org Name:TAMMY M. WALKER, LMSW, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER - OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:231-740-6092
Mailing Address - Street 1:1665 CHATTERSON RD
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-9401
Mailing Address - Country:US
Mailing Address - Phone:231-740-6092
Mailing Address - Fax:
Practice Address - Street 1:427 SEMINOLE RD STE 200A
Practice Address - Street 2:
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49444-3747
Practice Address - Country:US
Practice Address - Phone:231-480-3027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty