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General NPI Number Information
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NPI Number | 1407498652
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Entity Type | Organization
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Legal Business Name | NEW WALK COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 1351 S REYNOLDS RD STE B
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City | TOLEDO
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State | OH
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Zip | 43615-7411
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Country | US
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Telephone | 234-281-2109
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Fax |
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Provider Business Mailing Address
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Address Line | 26765 CARRONADE DR APT 4301
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City | PERRYSBURG
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State | OH
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Zip | 43551-6422
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/LPC
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Name | DR. TANESHA WALKER
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Credential | PHD
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Telephone | 330-957-5070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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