Provider Demographics
NPI:1851542435
Name:LOCKER, TAUNIA K (MS, LPC)
Entity Type:Individual
Prefix:
First Name:TAUNIA
Middle Name:K
Last Name:LOCKER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 SHERWOOD CT
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30461-6876
Mailing Address - Country:US
Mailing Address - Phone:912-695-3900
Mailing Address - Fax:888-716-3502
Practice Address - Street 1:108 SHERWOOD CT
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30461-6876
Practice Address - Country:US
Practice Address - Phone:912-695-3900
Practice Address - Fax:888-716-3502
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004637101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GALPC004637OtherLICENSED PROFESSIONAL COUNSELOR