Healthcare Provider Details

I. General information

NPI: 1932021516
Provider Name (Legal Business Name): ELLEN WALKER COUNSELING & CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25883 SR-181 STE. 104
DAPHNE AL
36526
US

IV. Provider business mailing address

25883 SR-181 STE 104
DAPHNE AL
36526
US

V. Phone/Fax

Practice location:
  • Phone: 251-279-0103
  • Fax:
Mailing address:
  • Phone: 251-279-0103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: ELLEN ANN WALKER
Title or Position: COUNSELOR/ SOLE MEMBER
Credential: LPC
Phone: 251-279-0103