| Doctor Name: | MRS. TRACY LYNT LOCKLEAR |
| NPI Number: | 1134594807 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCA |
| License Number: | A11843 |
| Business Practice Address: | 305 E 3rd St Pembroke, NC - 283727991 |
| Business Phone Number: | 9105217461 |
| Business Fax Number: | |
| Mailing Address: | 413 Cabinet Shop Rd, MAXTON |
| State: | NC |
| Postal Code: | 283648970 |
| Phone Number: | 9107855469 |
| Fax Number: | |
| NPI Enumeration Date: | 12/07/2015 |
| NPI Last Update Date: | 12/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | A11843 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |