Otis Lockett, in Milwaukee - Addiction (substance Use Disorder)
Otis Lockett, - NPI 1134329238
Otis Lockett, is a Addiction (substance Use Disorder) in Milwaukee, Wisconsin. Otis Lockett, practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Otis Lockett, is 1134329238. The last update date is 2014-10-10.
Otis Lockett,'s current location address is 230 W Wells St, Milwaukee, Wisconsin. You can contact this provider via phone number 4148398994 and fax number 4142233817. The mailing address for Otis Lockett, is 230 W Wells St, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Otis Lockett, |
|---|---|
| Address | 230 W Wells St, Milwaukee, Wisconsin |
| Phone Number | 4148398994 |
| Fax Number | 4142233817 |
| Sole Proprietor | Y |
| Credentials | MS,LPC, CS |
NPI Number Detail
| NPI Number | 1134329238 |
|---|---|
| Provider Enumeration Date | 2007-07-18 |
| Last Updated Date | 2014-10-10 |
Provider Mailing Address Detail
| Address | 230 W Wells St |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532031866 |
| Phone Number | 4148398994 |
| Fax Number | 4142233817 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1661 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39394200 | WI | -- |
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What is the unique identifier code issued to Otis Lockett, by the Centers for Medicare & Medicaid Services?
The Otis Lockett, has been assigned the NPI (National Provider Identifier) 1134329238. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Otis Lockett, located?
The Otis Lockett, is located at 230 W Wells St, Milwaukee, WI 532031866.
What is the Otis Lockett,'s specialty and taxonomy code?
The Otis Lockett,'s specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
When did the Otis Lockett, receive its 1134329238?
The Otis Lockett, was issued its 1134329238 on 2007-07-18, which is the date when the organization was assigned this unique identifier.
When was the information related to Otis Lockett, most recently updated or refreshed?
The details pertaining to the Otis Lockett,, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-10-10.
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