Provider Demographics
NPI:1982485678
Name:LOCKEBY, JODIE DENISE (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:JODIE
Middle Name:DENISE
Last Name:LOCKEBY
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9803 AVENUE V UNIT B
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-4480
Mailing Address - Country:US
Mailing Address - Phone:806-786-9510
Mailing Address - Fax:
Practice Address - Street 1:3601 4TH STREET
Practice Address - Street 2:STOP 6522
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430
Practice Address - Country:US
Practice Address - Phone:806-743-6797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90833101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health