Provider Demographics
NPI:1780342378
Name:KATIE LOCKLIN COUNSELING & CONSULTING LLC
Entity type:Organization
Organization Name:KATIE LOCKLIN COUNSELING & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAITLIN
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:LOCKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-565-8380
Mailing Address - Street 1:236 MONTGOMERY LN
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6543
Mailing Address - Country:US
Mailing Address - Phone:205-370-2743
Mailing Address - Fax:
Practice Address - Street 1:3 OFFICE PARK CIR # 113B
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2510
Practice Address - Country:US
Practice Address - Phone:205-565-8380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty