MEDICARE: MRS. ANGELINE STEPHANIE WALKER M.S., 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	101YP2500X	Professional Counselor	9459	SC
2	101YM0800X	Mental Health Counselor	8988	NC

General Provider Information

NPI Number	:	1760720973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELINE STEPHANIE WALKER M.S., LPC

Provider Business Mailing Address
First Line	:	3617 WAXAHACHIE AVE
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28214-9114
Country	:	US
Telephone Number	:	347-821-2287
Fax Number	:

Provider Business Practice Location Address
First Line	:	3617 WAXAHACHIE AVE
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28214-9114
Country	:	US
Telephone Number	:	347-821-2287
Fax Number	:

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

Provider Enumeration Date	:	01/22/2013
Last Update Date	:	03/24/2026

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