Healthcare Provider Details

I. General information

NPI: 1851160311
Provider Name (Legal Business Name): MORLOCK FOUNDATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2023
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 GENESEE ST
LOCKPORT NY
14094-4424
US

IV. Provider business mailing address

140 GENESEE ST
LOCKPORT NY
14094-4424
US

V. Phone/Fax

Practice location:
  • Phone: 716-842-1300
  • Fax: 716-249-3388
Mailing address:
  • Phone: 716-842-1300
  • Fax: 716-249-3388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARMALETTA KAYE ZANDI
Title or Position: PRESIDENT
Credential: LCSW
Phone: 716-842-1300