Provider Demographics
NPI:1215738661
Name:WALTON, ERIC RUBEN
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:RUBEN
Last Name:WALTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 SOUTH WASHINGTON SUITE 300 LANSING, MI 48911 -4891
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911
Mailing Address - Country:US
Mailing Address - Phone:517-322-3050
Mailing Address - Fax:
Practice Address - Street 1:2720 SOUTH WASHINGTON SUITE 300 LANSING, MI 48911 -4891
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-4891
Practice Address - Country:US
Practice Address - Phone:517-322-3050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health