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Provider Information for 1760928402


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MARY WALKER & ASSOCIATES, LLC

Organization Subpart: NO

NPI: 1760928402
Last Updated: 2017-01-18
Certification Date:

Details

NameValue
NPI1760928402
Enumeration Date2017-01-18
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: Ms. MARY WALKER MS, LMHC, LMFT
Title: Manager
Phone: 9545367735
Mailing Address 8228 NW 8TH CT
PLANTATION, FL 33324-1204
United States

Phone: 954-536-7735 | Fax:
 
Primary Practice Address 2312 WILTON DR
SUITE 28
WILTON MANORS, FL 33305-1249
United States

Phone: 954-536-7735 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 193200000X - Multi-Specialty Group
101YM0800X - Counselor - Mental Health
FLMH1622
No 193200000X - Multi-Specialty Group
101YP1600X - Counselor - Pastoral
Yes 193200000X - Multi-Specialty Group
106H00000X - Marriage & Family Therapist
FLMT1260