Provider Demographics
NPI:1962078535
Name:WALKER THERAPY SERVICES L.L.C.
Entity type:Organization
Organization Name:WALKER THERAPY SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRESTON
Authorized Official - Middle Name:TENNEY
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:801-554-4630
Mailing Address - Street 1:250 E HORIZON DR STE 120
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-8059
Mailing Address - Country:US
Mailing Address - Phone:801-872-9691
Mailing Address - Fax:702-710-6574
Practice Address - Street 1:250 E HORIZON DR STE 120
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-8059
Practice Address - Country:US
Practice Address - Phone:801-872-9691
Practice Address - Fax:702-710-6574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)