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PHOENIX LYN BLACK WALKER LADC
NPI 1245755107
Counselor - Addiction (Substance Use Disorder) in Duluth, MN

Active since August 11, 2017
1401 E 1ST ST, DULUTH, MN 55805(218) 728-4491(218) 730-2367 Get Directions Write a Review

NPPES record last updated: August 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Lyn Black Walker Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX LYN BLACK WALKER LADC (NPI 1245755107) is an individual addiction (substance use disorder) provider in Duluth, Minnesota, licensed in Minnesota (300519) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1245755107
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePHOENIX LYN BLACK WALKERCredential: LADC
Location Address1401 E 1ST STDuluth, MN 55805-2407
Mailing Address1401 E 1st StDuluth, MN 55805-2407 · (218) 728-4491 · Fax (218) 730-2367
Phone(218) 728-4491
Fax(218) 730-2367
Sole ProprietorNo
Enumeration DateAugust 11, 2017
✔ NPI 1245755107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 300519
1401 E 1ST ST, Duluth, MN 55805
Open in Google Maps ↗

Other Names 1

Former Name (1)Cheryl Lynn Mullis-dwornikowsk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAMES F GRUBA LP
Psychologist
1401 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 728-4491
NEDENE MARIE KUHLMAN RN
Registered Nurse
1401 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 730-2351
MR. BENJAMIN MATTHEW HATFIELD MSW, LICSW, LADC
Social Worker (Clinical)
1401 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 728-4491
JENNIFER HARRIS
Registered Nurse
1401 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 730-2351
BRIGHTWATER HEALTH DBA HUMAN DEVELOPMENT CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
1401 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 728-4491
TIMOTHY R WALTERS LPC
Counselor (Professional)
1401 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 728-4491
BARBARA JO STORTZ WIKLUND
Social Worker (Clinical)
1401 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 728-4491
JULIE WILSON
Counselor (Mental Health)
1401 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 730-2351

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Walker's NPI number?

The NPI number for Phoenix Walker is 1245755107. It was assigned to this individual provider in the NPPES registry on August 11, 2017. The provider is also known as Cheryl Lynn Mullis-Dwornikowsk.

Where is Phoenix Walker located?

Phoenix Walker practices at 1401 E 1st St, Duluth, MN 55805. The listed phone number is (218) 728-4491.

What is Phoenix Walker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Phoenix Walker accept?

Health plans from HealthPartners and Sanford Health Plan list Phoenix Walker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phoenix Walker was last updated on August 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.