| Doctor Name: | ROBERT LOCK |
| NPI Number: | 1427460229 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.C. |
| License Number: | 1861 |
| Business Practice Address: | 828 Bullrun Cir Byram, MS - 392724443 |
| Business Phone Number: | 6015191011 |
| Business Fax Number: | |
| Mailing Address: | 828 Bullrun Cir, BYRAM |
| State: | MS |
| Postal Code: | 392724443 |
| Phone Number: | 6015191011 |
| Fax Number: | |
| NPI Enumeration Date: | 05/28/2014 |
| NPI Last Update Date: | 05/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1861 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |