Provider Demographics
NPI:1265251052
Name:LOCKHART THERAPY AND ASSOCIATES, LLC.
Entity type:Organization
Organization Name:LOCKHART THERAPY AND ASSOCIATES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:FISSE
Authorized Official - Last Name:LOCKHART
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP, CBIS
Authorized Official - Phone:504-228-9455
Mailing Address - Street 1:1012 ARIS AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-2210
Mailing Address - Country:US
Mailing Address - Phone:504-228-9455
Mailing Address - Fax:
Practice Address - Street 1:1012 ARIS AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-2210
Practice Address - Country:US
Practice Address - Phone:504-228-9455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities