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NPI Code Detail

MEDICARE: DIAMOND WALKER M.A, LPC, C-DBT

MEDICARE:   DIAMOND  WALKER  M.A, LPC, C-DBT
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
1101YP2500XProfessional Counselor85212TX
2101Y00000XCounselor85212TX
3171M00000XCase Manager/Care Coordinator
4101YM0800XMental Health Counselor85212TX
5101YP1600XPastoral Counselor

General Provider Information

NPI Number : 1578076881
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIAMOND WALKER M.A, LPC, C-DBT
Provider Business Mailing Address
First Line : 4101 MCEWEN RD STE 346
Second Line :
City : DALLAS
State : TX
Zip : 75244-5276
Country : US
Telephone Number : 214-336-4417
Fax Number : 214-377-6247
Provider Business Practice Location Address
First Line : 4101 MCEWEN RD STE 346
Second Line :
City : DALLAS
State : TX
Zip : 75244-5276
Country : US
Telephone Number : 214-336-4417
Fax Number : 214-377-6247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2017
Last Update Date : 03/08/2026

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Directions to “ DIAMOND WALKER M.A, LPC, C-DBT” Practice Location

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