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General NPI Number Information
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NPI Number | 1356297410
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Entity Type | Organization
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Legal Business Name | LOCKETTS OF LOVE HOME AND COMMUNITY BASED CARE LLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 1030 VILLA DR
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City | JONESBORO
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State | AR
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Zip | 72405-8154
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Country | US
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Telephone | 870-276-2567
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Fax |
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Provider Business Mailing Address
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Address Line | 361 SOUTHWEST DR STE 797
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City | JONESBORO
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State | AR
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Zip | 72401-5854
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Country | US
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Telephone | 870-276-2567
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PRINCESS HOUSTON
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Credential | APRN
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Telephone | 870-219-8064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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