Provider Demographics
NPI:1578874400
Name:STRICKLAND, HEATHER LOCKLEAR (MA,LCMHCS, LCAS)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:LOCKLEAR
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:MA,LCMHCS, LCAS
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 281
Mailing Address - Street 2:
Mailing Address - City:BOLIVIA
Mailing Address - State:NC
Mailing Address - Zip Code:28422-0281
Mailing Address - Country:US
Mailing Address - Phone:910-368-6739
Mailing Address - Fax:
Practice Address - Street 1:3490 OLD OCEAN HWY UNIT 2
Practice Address - Street 2:
Practice Address - City:BOLIVIA
Practice Address - State:NC
Practice Address - Zip Code:28422-9032
Practice Address - Country:US
Practice Address - Phone:910-253-5885
Practice Address - Fax:910-253-5887
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-25
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YA0400X
NC8061101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)