MR. WALTER GILLICAN CHAMBERLAIN M.ED LPC BCBA NPI 1679762082

NPI Information

  • NPI: 1679762082
  • Provider Name: MR. WALTER GILLICAN CHAMBERLAIN, M.ED, LPC, BCBA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2415 17TH ST
    GULFPORT, MS
    ZIP 39501
  • Phone: (228) 701-0085

Map and Directions

Get Directions

NPI Details

MR. Walter Gillican Chamberlain, M.ED, LPC, BCBA is a mental health counselor in Gulfport, MS. MR. Walter Gillican Chamberlain, M.ED, LPC, BCBA NPI is 1679762082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2415 17TH ST
GULFPORT, MS
ZIP 39501-906
Phone: (228) 701-0085
Fax: (220) 701-0054

The enumeration date for this NPI number is 10/22/2007 and was last updated on 11/2/2012.

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
1103K00000XBehavior Analyst1-11-9380No
2101YM0800XCounselorMental Health1548MISSISSIPPIYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.