Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Walker, PCCSSS

Individual provider Peer Specialist · NPI 1366203077

Samuel Walker, PCCSSS is a Peer Specialist in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2024.

Licensed in
MS
In the registry since
2024

Practice location Address checks out

1600 Broad Ave
Gulfport, MS 39501-3603
Phone: (228) 213-5888
Fax: (228) 575-3433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 4138 (MS)

Record details

NPI number1366203077
Entity typeIndividual (Type 1)
GenderMale
Credentials PCCSSS
Sole proprietorNo
NPI enumeratedJanuary 19, 2024
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024
Mailing addressPo Box 18679, Hattiesburg, MS 39404-8679

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