WALKER THERAPY LLC NPI 1598406548

NPI Information

  • NPI: 1598406548
  • Provider Name: WALKER THERAPY LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: FLOURISH MENTAL WELLNESS
  • Address: 1640 LELIA DR STE 120
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 914-4492

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NPI Details

WALKER THERAPY LLC is a mental health (including community mental health center) clinic center in Jackson, MS. WALKER THERAPY LLC NPI is 1598406548. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Flourish Mental Wellness.

The provider's business location address is:

1640 LELIA DR STE 120
JACKSON, MS
ZIP 39216-873
Phone: (601) 914-4492
Fax: (601) 914-6715

The provider's authorized official is Ian D Walker .
The authorized official title is Member and has the following contact phone number (601) 914-4492.

The enumeration date for this NPI number is 4/5/2022 and was last updated on 8/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
106285286MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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