Healthcare Provider Details

I. General information

NPI: 1083527089
Provider Name (Legal Business Name): SYDNEE WALKER M.A.,LGPC,NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 LAKEFOREST BLVD
GAITHERSBURG MD
20877-2611
US

IV. Provider business mailing address

9617 MARATHON TER APT 302
GAITHERSBURG MD
20878-7300
US

V. Phone/Fax

Practice location:
  • Phone: 240-801-9818
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP18487
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: