MEDICARE: ABIGAIL MADELINE LOCKE

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	101YP2500X	Professional Counselor	86602	TX

General Provider Information

NPI Number	:	1427752534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL MADELINE LOCKE

Provider Business Mailing Address
First Line	:	510 AUSTIN AVE STE 3250
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76701-2117
Country	:	US
Telephone Number	:	254-556-5184
Fax Number	:	254-488-3291

Provider Business Practice Location Address
First Line	:	510 AUSTIN AVE STE 3250
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76701-2117
Country	:	US
Telephone Number	:	254-556-5184
Fax Number	:	254-488-3291

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

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	05/21/2026

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Directions to “ ABIGAIL MADELINE LOCKE ” Practice Location

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