Phoenix Lyn Black Walker, LADC - Counselor in Duluth, MN

Phoenix Lyn Black Walker, LADC is a Counselor - Addiction (substance Use Disorder) based in Duluth, Minnesota. Phoenix Lyn Black Walker is licensed to practice in Minnesota (license number 300519) and her current practice location is 1401 E 1st St, Duluth, Minnesota. She can be reached at her office (for appointments etc.) via phone at (218) 728-4491.

NPI number for Phoenix Lyn Black Walker is 1245755107 and her current mailing address is 1401 E 1st St, Duluth, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245755107.

Contact Information

Phoenix Lyn Black Walker, LADC
1401 E 1st St,
Duluth, MN 55805-2407
(218) 728-4491
(218) 730-2367

Map and Direction


Healthcare Provider's Profile

Full NamePhoenix Lyn Black Walker
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1401 E 1st St, Duluth, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245755107
  • Provider Enumeration Date: 08/11/2017
  • Last Update Date: 08/11/2017

Medical Identifiers

Medical identifiers for Phoenix Lyn Black Walker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245755107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 300519 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phoenix Lyn Black Walker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Phoenix Lyn Black Walker, LADC
1401 E 1st St,
Duluth, MN 55805-2407

Ph: (218) 728-4491
Phoenix Lyn Black Walker, LADC
1401 E 1st St,
Duluth, MN 55805-2407

Ph: (218) 728-4491

Reviews and Comments


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