| Doctor Name: | MR. HAINES LOCKHART |
| NPI Number: | 1003181017 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC |
| License Number: | 0016701 |
| Business Practice Address: | 19 W Main St Suite 150 Macedon, NY - 145028949 |
| Business Phone Number: | 5853012395 |
| Business Fax Number: | 3153310897 |
| Mailing Address: | 19 W Main St, Suite 150 MACEDON |
| State: | NY |
| Postal Code: | 145028949 |
| Phone Number: | 5853012395 |
| Fax Number: | 3153310897 |
| NPI Enumeration Date: | 03/09/2012 |
| NPI Last Update Date: | 03/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0016701 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |