NPI age
11 years
Enumerated 2015-04-27
● Active Type 2 · Organization
Kenneth B Walker Residential Home Inc
Kenneth B Walker Residential Home Inc is 1 of 101 community based residential treatment facility, mental illness organizations in Georgia.
Primary specialty
Community Based Residential Treatment Facility, Mental Illness
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Crumbley
Chief Executive Officer
Last NPPES update
2015-04-28
Source: monthly bulk 2026-05
How this organization compares
Across 101 active community based residential treatment facility, mental illness providers in Georgia.
NPI age
11 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-04Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
3575 MacOn Rd, Suite 25
Columbus, GA 319078200
Mailing address
3575 MacOn Rd, Suite 25
Columbus, GA 319078200
Authorized official
Timothy Crumbley, MS, MHP
Chief Executive Officer
📞 7066811991
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Lovietta Campbell, LMSW Social Worker NPI 1003987579
- Mary Ellen Connett Marriage & Family Therapist NPI 1356440119
- Melanie De Quadros, LPC Counselor NPI 1639471246
- Yukema Oates, LPC Counselor NPI 1801767249
Specialties
-
Community Based Residential Treatment Facility, Mental Illness PrimaryA home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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