Healthcare Provider Details

I. General information

NPI: 1750880019
Provider Name (Legal Business Name): LINDSEY KAYE WALKER MA EDS, LCAS-A,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2018
Last Update Date: 10/09/2024
Certification Date: 10/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 E TRADE ST STE B100
FOREST CITY NC
28043-2201
US

IV. Provider business mailing address

PO BOX 335
FOREST CITY NC
28043
US

V. Phone/Fax

Practice location:
  • Phone: 828-220-4174
  • Fax: 828-220-4375
Mailing address:
  • Phone: 828-220-4174
  • Fax: 828-220-4375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS24305
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA14124
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: