Healthcare Provider Details

I. General information

NPI: 1477748374
Provider Name (Legal Business Name): WANTING WALKER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2007
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 W WASHINGTON ST
CHICAGO IL
60602-2801
US

IV. Provider business mailing address

77 W WASHINGTON ST STE 1506
CHICAGO IL
60602-3220
US

V. Phone/Fax

Practice location:
  • Phone: 312-285-0534
  • Fax:
Mailing address:
  • Phone: 312-285-0534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: