Healthcare Provider Details

I. General information

NPI: 1063109916
Provider Name (Legal Business Name): WALKER'S GROUP L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3531 MARKET PLACE AVE. STE 200
BRYANT AR
72022-8810
US

IV. Provider business mailing address

2818 WHISKER WAY
BENTON AR
72015-2742
US

V. Phone/Fax

Practice location:
  • Phone: 870-858-0303
  • Fax: 479-763-0030
Mailing address:
  • Phone: 870-858-0303
  • Fax: 479-763-0030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. MARQUIS WALKER
Title or Position: DIRECTOR/OWNER
Credential: LCSW
Phone: 870-858-0303