Organization
LOCKETT ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OTIS LOCKETT JR. MS, LPC, CSAC, LCS (PRESIDENT)
(414) 839-8994
Entity
Organization
Contact information
Practice address
230 W WELLS ST, SUITE 214, MILWAUKEE, WI 53203-1866
(414) 839-8994
(414) 223-3817
Mailing address
230 W WELLS ST, SUITE 214, MILWAUKEE, WI 53203-1866
(414) 839-8994
(414) 223-3817
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5052
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39394200
—
WI
Enumeration date
10/10/2014
Last updated
05/20/2015
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