Ms Kelly D Walker, CIPS, CMHC is a
Counselor based in Youngstown, Florida. Ms Kelly D Walker is licensed to practice in Florida (license number 36-89142) and her current practice location is
792 Highway 20, Youngstown, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 743-9978.
NPI number for Ms Kelly D Walker is 1114542354 and her current mailing address is 792 Highway 20, Youngstown, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114542354.
Healthcare Provider's Profile
| Full Name | Ms Kelly D Walker |
|---|
| Gender | Female |
|---|
| Speciality | Counselor |
|---|
| Location | 792 Highway 20, Youngstown, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114542354
- Provider Enumeration Date: 06/13/2020
- Last Update Date: 03/30/2021
Medical Identifiers
Medical identifiers for Ms Kelly D Walker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114542354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 319062 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | 517068 (Florida) | Secondary |
| 146D00000X | Personal Emergency Response Attendant | 0090HTG (Florida) | Secondary |
| 172V00000X | Community Health Worker | 590116 (Florida) | Secondary |
| 405300000X | Prevention Professional | 379114 (Florida) | Secondary |
| 101Y00000X | Counselor | 36-89142 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kelly D Walker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Kelly D Walker, CIPS, CMHC
792 Highway 20,
Youngstown, FL 32466-3517
Ph: (850) 743-9978 | Ms Kelly D Walker, CIPS, CMHC
792 Highway 20,
Youngstown, FL 32466-3517
Ph: (850) 743-9978 |
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