Provider Demographics
NPI:1619489523
Name:LOCKHART, NATASHA N (LPC, CTMH, CCATP)
Entity Type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:N
Last Name:LOCKHART
Suffix:
Gender:F
Credentials:LPC, CTMH, CCATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4818 W MCEACHERN WOODS DR
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-1258
Mailing Address - Country:US
Mailing Address - Phone:470-312-6975
Mailing Address - Fax:404-745-0901
Practice Address - Street 1:4818 W MCEACHERN WOODS DR
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-1258
Practice Address - Country:US
Practice Address - Phone:470-312-6975
Practice Address - Fax:404-745-0901
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-01
Last Update Date:2022-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC005519101YM0800X
GALPC010405101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health