=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427915404
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WALKER'S PATH TO HEALING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/09/2026
-----------------------------------------------------
Last Update Date | 01/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 452 WILLOWBROOK DR
-----------------------------------------------------
City | TERRYTOWN
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70056-7820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-791-3924
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 2491
-----------------------------------------------------
City | HARVEY
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70059-2491
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-791-3924
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JOHNNY WALKER
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 318-791-3924
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------