Healthcare Provider Details

I. General information

NPI: 1528983616
Provider Name (Legal Business Name): MORGAN WALKER MHC-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 GRAND AVE
NORTH BALDWIN NY
11510-1301
US

IV. Provider business mailing address

1115 BROADWAY FL 12
NEW YORK NY
10010-3452
US

V. Phone/Fax

Practice location:
  • Phone: 516-455-7267
  • Fax:
Mailing address:
  • Phone: 646-971-8190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP144582
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: