Healthcare Provider Details

I. General information

NPI: 1811387335
Provider Name (Legal Business Name): SHAMEKA WALKER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2015
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 ASBELL ST # 625
IRWINTON GA
31042-2556
US

IV. Provider business mailing address

113 ASBELL ST # 625
IRWINTON GA
31042-2556
US

V. Phone/Fax

Practice location:
  • Phone: 478-233-6124
  • Fax:
Mailing address:
  • Phone: 478-254-1759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC010964
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00856700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: