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NPI Code Detail

MEDICARE: LATYCE KALYNN LOCKER MA, LPC, LAC, AADC

MEDICARE: LATYCE KALYNN LOCKER MA, LPC, LAC, AADC
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
1222Q00000XDevelopmental Therapist8418SC
2101YA0400XAddiction (Substance Use Disorder) Counselor8418SC
3101YM0800XMental Health Counselor8418SC

General Provider Information

NPI Number : 1427497742
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATYCE KALYNN LOCKER MA, LPC, LAC, AADC
Provider Business Mailing Address
First Line : 1451 RETAIL ROW
Second Line :
City : HARTSVILLE
State : SC
Zip : 29550-4258
Country : US
Telephone Number : 843-383-4855
Fax Number : 843-631-6524
Provider Business Practice Location Address
First Line : 1451 RETAIL ROW
Second Line :
City : HARTSVILLE
State : SC
Zip : 29550-4258
Country : US
Telephone Number : 843-383-4855
Fax Number : 843-631-6524
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2013
Last Update Date : 02/28/2026

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