MEDICARE: CHASITY WALKER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235463696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHASITY WALKER LPC

Provider Business Mailing Address
First Line	:	8309 NW 139TH TER
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73142-1933
Country	:	US
Telephone Number	:	405-602-4705
Fax Number	:	405-367-7148

Provider Business Practice Location Address
First Line	:	5300 N MERIDIAN AVE STE 11A
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2179
Country	:	US
Telephone Number	:	405-602-4705
Fax Number	:	405-225-1408

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2009
Last Update Date	:	04/26/2024

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Directions to “ CHASITY WALKER LPC” Practice Location

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