Provider Demographics
NPI:1861215287
Name:LOCKER MCDONALD COUNSELING LLC
Entity type:Organization
Organization Name:LOCKER MCDONALD COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WINSTON
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:MA, ALC, NCC
Authorized Official - Phone:256-229-3156
Mailing Address - Street 1:2106 SEMINOLE DR SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-3812
Mailing Address - Country:US
Mailing Address - Phone:256-229-3156
Mailing Address - Fax:
Practice Address - Street 1:2106 SEMINOLE DR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-3812
Practice Address - Country:US
Practice Address - Phone:256-229-3156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)