Healthcare Provider Details

I. General information

NPI: 1902617020
Provider Name (Legal Business Name): THE WALKER GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 MCKINLEY AVE SW
CANTON OH
44707-4727
US

IV. Provider business mailing address

12421 PEARL RD
STRONGSVILLE OH
44136-3414
US

V. Phone/Fax

Practice location:
  • Phone: 216-297-5694
  • Fax:
Mailing address:
  • Phone: 216-297-5694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: TOMESHA WALKER
Title or Position: CEO
Credential:
Phone: 216-297-5694