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THEODORE LAURENCE WALKER PRSS
NPI 1518773142
Peer Specialist in Ravenna, OH

Active since December 09, 2024
223 W MAIN ST, RAVENNA, OH 44266(330) 577-4099(844) 274-3002 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore Laurence Walker Prss NPPES

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

THEODORE LAURENCE WALKER PRSS (NPI 1518773142) is an individual peer specialist in Ravenna, Ohio, licensed in Ohio (APS.005855) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1518773142
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTHEODORE LAURENCE WALKERCredential: PRSS
Location Address223 W MAIN STRavenna, OH 44266-2741
Mailing Address223 W Main StRavenna, OH 44266-2741 · (330) 577-4099 · Fax (844) 274-3002
Phone(330) 577-4099
Fax(844) 274-3002
Sole ProprietorNo
Enumeration DateDecember 9, 2024
NPPES CertifiedDecember 9, 2024
✔ NPI 1518773142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · APS.005855
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
223 W MAIN ST, Ravenna, OH 44266
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Other Providers at the Same Location NPPES 11

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

RAVENNA OPTICAL INC
Optometrist
223 W MAIN ST, RAVENNA OPTICAL INC
RAVENNA, OH 44266
Portage County (330) 297-1419
JASON GRECH LPC
Counselor (Professional)
223 W MAIN ST
RAVENNA, OH 44266
Portage County (330) 577-4099
STEPPING STONE COMMUNITY SERVICES, LLC
Community/Behavioral Health
223 W MAIN ST
RAVENNA, OH 44266
Portage County (330) 577-4099
MEGHAN SHORT PRSS
Peer Specialist
223 W MAIN ST
RAVENNA, OH 44266
Portage County (330) 577-4099
CHARLENE R. POLASKY MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
223 W MAIN ST
RAVENNA, OH 44266
Portage County (330) 577-4099
MIKE GULIANO
Counselor (Mental Health)
223 W MAIN ST
RAVENNA, OH 44266
Portage County (330) 577-4099
STEPPING STONE COMMUNITY SERVICES, LLC
Community/Behavioral Health
223 W MAIN ST
RAVENNA, OH 44266
Portage County (330) 577-4099
KAYLA BARRON
Counselor (Mental Health)
223 W MAIN ST
RAVENNA, OH 44266
Portage County (330) 577-4099

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 Theodore Walker's NPI number?

The NPI number for Theodore Walker is 1518773142. It was assigned to this individual provider in the NPPES registry on December 9, 2024.

Where is Theodore Walker located?

Theodore Walker practices at 223 W Main St, Ravenna, OH 44266. The listed phone number is (330) 577-4099.

What is Theodore Walker's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Theodore Walker was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.