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NPI Code Detail

MEDICARE: TAISHA CHALENE LOCKHART

MEDICARE: TAISHA CHALENE LOCKHART
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMD

General Provider Information

NPI Number : 1225997521
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAISHA CHALENE LOCKHART
Provider Business Mailing Address
First Line : 7513 BLUE SUN DR
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21060-8789
Country : US
Telephone Number : 706-306-8798
Fax Number :
Provider Business Practice Location Address
First Line : 8141 TELEGRAPH RD # R
Second Line :
City : SEVERN
State : MD
Zip : 21144-3256
Country : US
Telephone Number : 240-296-6038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ TAISHA CHALENE LOCKHART ” Practice Location

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