Healthcare Provider Details

I. General information

NPI: 1548040892
Provider Name (Legal Business Name): DENISE A. WALKER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2023
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1495 REMOUNT RD
NORTH CHARLESTON SC
29406-3320
US

IV. Provider business mailing address

215 EIGHTY OAK AVE
MT PLEASANT SC
29464-7908
US

V. Phone/Fax

Practice location:
  • Phone: 843-284-7118
  • Fax:
Mailing address:
  • Phone: 843-284-7118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11449
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8697
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: