Doctor Name: | LYNNITA JOYCE WALKER |
NPI Number: | 1316383011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC |
License Number: | A1302011 |
Business Practice Address: | 400 Llama Searcy, AR - 72143 |
Business Phone Number: | 5013052359 |
Business Fax Number: | 5013052348 |
Mailing Address: | 1815 Plesant Grove Road, JONESBORO |
State: | AR |
Postal Code: | 72404 |
Phone Number: | 8709336886 |
Fax Number: | 8709339395 |
NPI Enumeration Date: | 05/21/2013 |
NPI Last Update Date: | 02/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | A1302011 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |