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RANDOLPH WALTERS & ASSOCIATES, LLC
NPI 1700124666
Community/Behavioral Health in Philadelphia, PA

Active since January 27, 2013
1989 N 63RD ST, SUITE 200, PHILADELPHIA, PA 19151(610) 639-1729(215) 878-8998 Get Directions Write a Review

NPPES record last updated: January 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Randolph Walters & Associates, Llc NPPES

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

RANDOLPH WALTERS & ASSOCIATES, LLC (NPI 1700124666) is a healthcare organization registered as a community/behavioral health in Philadelphia, Pennsylvania and active in the NPI registry since January 2013. The organization lists Randolph Windell Walters, Founder/director, as its authorized official.

NPPES Registry Identity

NPI1700124666
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameRANDOLPH WALTERS & ASSOCIATES, LLC
Location Address1989 N 63RD ST, SUITE 200Philadelphia, PA 19151-2607
Mailing Address1989 N 63rd St, Suite 200Philadelphia, PA 19151-2607 · (610) 639-1729 · Fax (215) 878-8998
Phone(610) 639-1729
Fax(215) 878-8998
Organization SubpartNo
Authorized OfficialRandolph Windell WaltersFounder/director · (610) 639-1729
Enumeration DateJanuary 27, 2013
✔ NPI 1700124666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in PA · PC002890
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1989 N 63RD ST, Philadelphia, PA 19151
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Other Providers at the Same Location NPPES 8

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

KATHARINE MICHAEL
Behavior Technician
1989 N 63RD ST
PHILADELPHIA, PA 19151
Philadelphia County (484) 326-0251
FAITH MCCORMICK
Behavior Technician
1989 N 63RD ST
PHILADELPHIA, PA 19151
Philadelphia County (484) 326-0251
KOURI TAYLOR
Behavior Technician
1989 N 63RD ST
PHILADELPHIA, PA 19151
Philadelphia County (484) 326-0251
DESTINEE RICHARDSON
Behavior Technician
1989 N 63RD ST
PHILADELPHIA, PA 19151
Philadelphia County (484) 326-0251
DR. TRACY ANNETTE BECOAT DMIN
Social Worker
1989 N 63RD ST, SUITE 300
PHILADELPHIA, PA 19151
Philadelphia County (215) 384-6651
JOSH M SMITH
Counselor (Professional)
1989 N 63RD ST
PHILADELPHIA, PA 19151
Philadelphia County (610) 639-1729
ADAMA BRACEWELL LPC
Counselor (Mental Health)
1989 N 63RD ST
PHILADELPHIA, PA 19151
Philadelphia County (267) 562-2270
ELINOR STANLEY
Behavior Technician
1989 N 63RD ST
PHILADELPHIA, PA 19151
Philadelphia County (484) 326-0251

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 Randolph Walters & Associates, LLC's NPI number?

The NPI number for Randolph Walters & Associates, LLC is 1700124666. It was assigned to this organization in the NPPES registry on January 27, 2013.

Where is Randolph Walters & Associates, LLC located?

Randolph Walters & Associates, LLC is located at 1989 N 63rd St Suite 200, Philadelphia, PA 19151. The listed phone number is (610) 639-1729.

What is Randolph Walters & Associates, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Randolph Walters & Associates, LLC was last updated on January 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.