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NPI Code Detail

MEDICARE: PATRICIA LOCKLEAR COUNSELING LLC

MEDICARE: PATRICIA LOCKLEAR COUNSELING LLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1851250328
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATRICIA LOCKLEAR COUNSELING LLC
Provider Business Mailing Address
First Line : 12130 EMERALD GREEN CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-0586
Country : US
Telephone Number : 904-294-7439
Fax Number :
Provider Business Practice Location Address
First Line : 2602 ISABELLA BLVD STE 10
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-8000
Country : US
Telephone Number : 904-270-9870
Fax Number :
Authorized Official
Title or Position : FOUNDER & DIRECTOR
Name : PATRICIA MCGLOTHLIN
Credential : MA, LMHC, NCC
Telephone Number : 904-294-7439
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “PATRICIA LOCKLEAR COUNSELING LLC ” Practice Location

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