Healthcare Provider Details

I. General information

NPI: 1407229404
Provider Name (Legal Business Name): ALICIA WALKER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2015
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 W MAIN ST STE 100A
NEW IBERIA LA
70560-3795
US

IV. Provider business mailing address

4803 S FREYOU RD
NEW IBERIA LA
70560-7918
US

V. Phone/Fax

Practice location:
  • Phone: 337-251-7010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: