MEDICARE: MRS. KIARA MARIE ESTILL WALKER MS, CPC, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH17685	FL
2	101YM0800X	Mental Health Counselor	CP1184	NV

General Provider Information

NPI Number	:	1043561236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIARA MARIE ESTILL WALKER MS, CPC, LMHC

Provider Business Mailing Address
First Line	:	6730 S FORT APACHE RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5392
Country	:	US
Telephone Number	:	702-665-5593
Fax Number	:	702-665-5887

Provider Business Practice Location Address
First Line	:	6730 S FORT APACHE RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5392
Country	:	US
Telephone Number	:	702-665-5593
Fax Number	:	702-665-5887

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2012
Last Update Date	:	01/17/2024

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