Provider Demographics
NPI:1215689336
Name:WALKER EBE, RONESHEIA
Entity type:Individual
Prefix:MRS
First Name:RONESHEIA
Middle Name:
Last Name:WALKER EBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2803 28TH LN
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-4267
Mailing Address - Country:US
Mailing Address - Phone:561-351-7670
Mailing Address - Fax:
Practice Address - Street 1:2803 238TH LANE
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-6158
Practice Address - Country:US
Practice Address - Phone:561-351-7670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-20
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22610101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty