Provider Demographics
NPI:1306176250
Name:WALKER, JOSHUA (LPC)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:WALKER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E ARLINGTON BLVD
Mailing Address - Street 2:STE E
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5019
Mailing Address - Country:US
Mailing Address - Phone:252-695-0269
Mailing Address - Fax:252-413-0526
Practice Address - Street 1:150 E ARLINGTON BLVD
Practice Address - Street 2:STE E
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5019
Practice Address - Country:US
Practice Address - Phone:252-695-0269
Practice Address - Fax:252-413-0526
Is Sole Proprietor?:No
Enumeration Date:2009-12-28
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7728101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104380Medicaid