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NPI Code Detail

MEDICARE: FELICIA WALKER CASE MANAGER

MEDICARE: FELICIA WALKER CASE MANAGER
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
1104100000XSocial WorkerFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780855049
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELICIA WALKER CASE MANAGER
Provider Business Mailing Address
First Line : 841 JIMMY ANN DRIVE
Second Line : HALIFAX BEHAVIORAL SERVICES
City : DAYTONA BEACH
State : FL
Zip : 32117-4583
Country : US
Telephone Number : 386-274-6646
Fax Number : 386-226-0653
Provider Business Practice Location Address
First Line : 841 JIMMY ANN DRIVE
Second Line : HALIFAX BEHAVIORAL SERVICES
City : DAYTONA BEACH
State : FL
Zip : 32117-4583
Country : US
Telephone Number : 386-274-6646
Fax Number : 386-226-0653
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2008
Last Update Date : 10/29/2013

Similar Medicare Providers

1376530923 — FARIYA S AFRIDI MD
Practice Location Address:
841 JIMMY ANN DR
DAYTONA BEACH, FL
32117-4583
Practice Phone: 386-274-5333
Practice Fax: 386-274-4140
1164480745 — DR. REKHA PRASAD MD
Practice Location Address:
841 JIMMY ANN DR , HALIFAX BEHAVIORAL SERVICES
DAYTONA BEACH, FL
32117-4583
Practice Phone: 386-274-5333
Practice Fax:
1518030964 — MR. MARK J. MONTEITH LCSW
Practice Location Address:
841 JIMMY ANN DR
DAYTONA BEACH, FL
32117-4583
Practice Phone: 386-274-5333
Practice Fax:
1538389374 — DEBBIE BUTLER EDWARDS
Practice Location Address:
841 JIMMY ANN DR
DAYTONA BEACH, FL
32117-4583
Practice Phone: 386-274-5333
Practice Fax:
1750511515 — MS. MELANIE SMITH PHD, LMHC
Practice Location Address:
841 JIMMY ANN DR
DAYTONA BEACH, FL
32117-4583
Practice Phone: 386-425-3931
Practice Fax:
1801125638 — MRS. KIMBERLY S JACKSON MSW
Practice Location Address:
841 JIMMY ANN DR
DAYTONA BEACH, FL
32117-4583
Practice Phone: 386-425-3953
Practice Fax: 386-258-4912

Directions to “ FELICIA WALKER CASE MANAGER” Practice Location

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