Walthall, Louis

Walthall, Louis is an individual health care provider with primary practice located at 3281 Veterans Memorial Hwy Ste E14 , Ronkonkoma NY 11779-7675. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Walthall, Louis can be contacted via phone (631) 471-3122.

Contact Information

Primary practice address
3281 Veterans Memorial Hwy Ste E14 Ronkonkoma NY 11779-7675
Phone: (631) 471-3122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 73 051661 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 73 051661 New York
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 9438 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 051661 New York

Profile Details

NPI number 1558502880
LBN Legal business name Walthall, Louis
Credentials LCSWR, CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2009
Last updated Feb 22nd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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