Provider Demographics
NPI:1063109916
Name:WALKER'S GROUP L.L.C.
Entity type:Organization
Organization Name:WALKER'S GROUP L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARQUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:870-858-0303
Mailing Address - Street 1:2818 WHISKER WAY
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-2742
Mailing Address - Country:US
Mailing Address - Phone:870-858-0303
Mailing Address - Fax:479-763-0030
Practice Address - Street 1:207 PROGRESS WAY STE 107
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-8810
Practice Address - Country:US
Practice Address - Phone:870-858-0303
Practice Address - Fax:479-763-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1851971881Medicaid
AR1063109916OtherGROUP NPI