MEDICARE: VICKI SMITH-LOCKHART LPC-INTERN

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
1	101YM0800X	Mental Health Counselor	83325	TX

General Provider Information

NPI Number	:	1366058588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICKI SMITH-LOCKHART LPC-INTERN

Provider Business Mailing Address
First Line	:	290 BROOKBEND DR
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75165-6128
Country	:	US
Telephone Number	:	214-794-6844
Fax Number	:

Provider Business Practice Location Address
First Line	:	1229 E PLEASANT RUN RD STE 220
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-4214
Country	:	US
Telephone Number	:	214-794-6844
Fax Number	:	972-637-9215

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2020
Last Update Date	:	03/09/2026

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