Healthcare Provider Details

I. General information

NPI: 1750837720
Provider Name (Legal Business Name): MISS WHITNEY WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2016
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1126 COMMERCIAL DR STE 2
HAMMOND LA
70403-5972
US

IV. Provider business mailing address

65241 HIGHWAY 1058
ROSELAND LA
70456-2105
US

V. Phone/Fax

Practice location:
  • Phone: 985-517-5959
  • Fax:
Mailing address:
  • Phone: 985-517-5959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: