DOMINIQUE WALKER LPC NPI 1891143996

NPI Information

NPI: 1891143996
Provider Name: DOMINIQUE WALKER, LPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
79 W ALEXANDRINE ST
DETROIT, MI
ZIP 48201
Phone: (313) 831-5535
Get Directions

Dominique Walker, LPC is a counselor in Detroit, MI. The provider is 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's degree and clinical experience and supervision for licensure or certification. Dominique Walker, LPC NPI is 1891143996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

79 W ALEXANDRINE ST
DETROIT, MI
ZIP 48201-015
Phone: (313) 831-5535
Fax: (313) 831-2608

The enumeration date for this NPI number is 5/31/2016 and was last updated on 12/3/2020.

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
1	101YM0800X	Counselor	Mental Health			No
2	101YP2500X	Counselor	Professional	6401017213	MICHIGAN	No
3	247200000X	Technician, Other				No
4	101Y00000X	Counselor		6401017213	MICHIGAN	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
1	1891143996	MEDICAID	MICHIGAN

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: 11/14/2023

NPI Synchronization or Removal

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