Healthcare Provider Details
I. General information
NPI: 1982449542
Provider Name (Legal Business Name): HILLARY WALKER COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2804 W NORTHERN LIGHTS BLVD
ANCHORAGE AK
99517-3300
US
IV. Provider business mailing address
222 N CHEVY CHASE DR APT 6
GLENDALE CA
91206-4526
US
V. Phone/Fax
- Phone: 907-240-6456
- Fax:
- Phone: 907-240-6456
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HILLARY
WALKER
Title or Position: OWNER
Credential: LPC
Phone: 907-240-6456