MEDICARE: LORETTA A WALTON LPC

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	101YP2500X	Professional Counselor	E.2606256	OH
2	101YP2500X	Professional Counselor	LPC013740	GA
3	101YP2500X	Professional Counselor	C.2002773	OH

General Provider Information

NPI Number	:	1467946392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORETTA A WALTON LPC

Provider Business Mailing Address
First Line	:	25101 CHAGRIN BLVD STE 100&200
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5643
Country	:	US
Telephone Number	:	216-831-6611
Fax Number	:	216-456-5913

Provider Business Practice Location Address
First Line	:	25101 CHAGRIN BLVD STE 100&200
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5643
Country	:	US
Telephone Number	:	216-831-6611
Fax Number	:	216-456-5913

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

Provider Enumeration Date	:	06/14/2018
Last Update Date	:	01/22/2026

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Directions to “ LORETTA A WALTON LPC” Practice Location

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