Walrus Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

691154496 Issued in FL

Legal business name

WALRUS SERVICES, LLC

Practice address

390 S Geronimo St
Suite #104
Miramar Beach, FL 32550-7020

Phone

(850) 650-0053

Fax

(850) 650-0075

NPI assigned

Aug 7, 2012

Last updated

Aug 7, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dow G. (Guy) Walden Jr., D MIN, M ED

Title

Owner/C.O.O.

Phone

(321) 689-2072

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1912254152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S GERONIMO ST",
            "address_2": "SUITE #104",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507020",
            "telephone_number": "850-650-0053",
            "fax_number": "850-650-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S GERONIMO ST",
            "address_2": "SUITE #104",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507020",
            "telephone_number": "850-650-0053",
            "fax_number": "850-650-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALRUS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "DOW",
        "authorized_official_middle_name": "G. (GUY)",
        "authorized_official_title_or_position": "OWNER/C.O.O.",
        "authorized_official_telephone_number": "321-689-2072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D MIN, M ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "691154496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691154496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jincy Landers Verhoff
• Aaron Vincent
• Vitalize Consulting & Counseling LLC
• Ellen D Vorbeck, DNP
• Ava Wadel
• Warby Parker Inc.
• Sherry T Ward, APRN
• Jaeyla Kelis Watson
• Meghan Ruth Watts
• Billy C Weinstein Jr., MD

• Community/Behavioral Health Agency in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.