| The Walker House Inc | |
|
642 W Main St Lexington KY 40508-2063 | |
| (859) 310-3567 | |
| Not Available |
| Full Name | The Walker House Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 642 W Main St, Lexington, Kentucky |
| Authorized Official Name and Position | Steven Smith (PRESIDENT) |
| Authorized Official Contact | 8593103567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Walker House Inc 642 W Main St Lexington KY 40508-2063 Ph: (859) 300-2879 | The Walker House Inc 642 W Main St Lexington KY 40508-2063 Ph: (859) 310-3567 |
| NPI Number | 1871291450 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Medicare PECOS PAC ID | 0042747909 |
|---|---|
| Medicare Enrollment ID | O20241217002601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871291450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Charlene Cochran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881960953 PECOS PAC ID: 6406017300 Enrollment ID: I20120420000316 |
| Provider Name | Kelly Andrew Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336860840 PECOS PAC ID: 9638546005 Enrollment ID: I20221028000606 |
| Provider Name | Kelli Ann Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396496659 PECOS PAC ID: 2163963885 Enrollment ID: I20240923000645 |
| Provider Name | Pascaline Jumbuin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194571513 PECOS PAC ID: 4789101965 Enrollment ID: I20250512000352 |
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