Provider Demographics
NPI:1548068661
Name:WALKER MOORE, KIM-POKIE HUI (LCSW)
Entity type:Individual
Prefix:MS
First Name:KIM-POKIE
Middle Name:HUI
Last Name:WALKER MOORE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10102 ARROWHEAD DR APT 6
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-5901
Mailing Address - Country:US
Mailing Address - Phone:904-382-0668
Mailing Address - Fax:
Practice Address - Street 1:10102 ARROWHEAD DR APT 6
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-5901
Practice Address - Country:US
Practice Address - Phone:904-701-1044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW24332101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor