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General NPI Number Information
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NPI Number | 1063163798
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Entity Type | Organization
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Legal Business Name | LOCKLEAR'S BEHAVIORAL HEALTH SERVICES, PLLC
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 401 E 3RD ST STE 1
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City | PEMBROKE
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State | NC
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Zip | 28372-8889
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Country | US
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Telephone | 910-501-6366
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Fax |
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Provider Business Mailing Address
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Address Line | 401 E 3RD ST STE 1
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City | PEMBROKE
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State | NC
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Zip | 28372-8889
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Country | US
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Telephone | 910-674-3050
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANA RAE LOCKLEAR
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Credential | LCMHC
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Telephone | 910-674-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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