Provider Demographics
NPI:1962835231
Name:PIERRE-LOCKHART, THELMA
Entity Type:Individual
Prefix:MS
First Name:THELMA
Middle Name:
Last Name:PIERRE-LOCKHART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8463 N LAKE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3045
Mailing Address - Country:US
Mailing Address - Phone:954-577-3136
Mailing Address - Fax:
Practice Address - Street 1:8463 N LAKE FOREST DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3045
Practice Address - Country:US
Practice Address - Phone:954-577-3136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker