Provider Demographics
NPI:1124417845
Name:LOCKABY-MORROW, DONNA (LMFT)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:LOCKABY-MORROW
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37605-0191
Mailing Address - Country:US
Mailing Address - Phone:423-914-8504
Mailing Address - Fax:423-328-8662
Practice Address - Street 1:1319 SUNSET DR STE 102
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-7907
Practice Address - Country:US
Practice Address - Phone:423-914-8504
Practice Address - Fax:423-328-8662
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-19
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000687106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist