Provider Demographics
NPI:1154890028
Name:WALKER, MARIA ANTOINETTE (LPC, LMHCA, CDPT)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANTOINETTE
Last Name:WALKER
Suffix:
Gender:F
Credentials:LPC, LMHCA, CDPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 TRINITY MILLS RD APT 3203
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-7016
Mailing Address - Country:US
Mailing Address - Phone:206-880-1936
Mailing Address - Fax:
Practice Address - Street 1:4350 TRINITY MILLS RD APT 3203
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-7016
Practice Address - Country:US
Practice Address - Phone:206-880-1936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-20
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO60617153101YA0400X
WAMC60838690101YM0800X
TX92811101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA$$$$$$$$$OtherSOCIAL SECURITY