MEDICARE: TRASHAI JEREE LOCKHART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor		OH

General Provider Information

NPI Number	:	1114856002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRASHAI JEREE LOCKHART

Provider Business Mailing Address
First Line	:	6403 ACKLEY RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-4609
Country	:	US
Telephone Number	:	216-773-0812
Fax Number	:	216-773-0812

Provider Business Practice Location Address
First Line	:	6403 ACKLEY RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-4609
Country	:	US
Telephone Number	:	216-773-0812
Fax Number	:	216-773-0812

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2026
Last Update Date	:	05/16/2026

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Directions to “ TRASHAI JEREE LOCKHART ” Practice Location

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