Healthcare Provider Details

I. General information

NPI: 1992846513
Provider Name (Legal Business Name): LOCK PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 07/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 S 59TH ST SUITE 104
LINCOLN NE
68516-2386
US

IV. Provider business mailing address

5600 S 59TH ST SUITE 104
LINCOLN NE
68516-2386
US

V. Phone/Fax

Practice location:
  • Phone: 402-484-0595
  • Fax: 402-484-6306
Mailing address:
  • Phone: 402-484-0595
  • Fax: 402-484-6306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number218677174
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number218677174
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number218677174
License Number StateNE
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number218677174
License Number StateNE
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number218677174
License Number StateNE
# 6
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number218677174
License Number StateNE

VIII. Authorized Official

Name: MR. CHRISTOPHER ORR
Title or Position: PRESIDENT
Credential: LMHP
Phone: 402-484-0595