Healthcare Provider Details

I. General information

NPI: 1245142314
Provider Name (Legal Business Name): MS. KIANA LOCKETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30806 ACADEMY TRACE DR
SPRING TX
77386-4006
US

IV. Provider business mailing address

8207 BARLOW ST
HOUSTON TX
77028-5401
US

V. Phone/Fax

Practice location:
  • Phone: 346-351-9116
  • Fax:
Mailing address:
  • Phone: 832-977-8047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: