Locklear, Benny

Locklear, Benny is an sole proprietor health care provider with primary practice located at 432 E Long Ave Ste 2 , Gastonia NC 28054-2540. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Locklear, Benny can be contacted via phone (980) 416-3025.

Contact Information

Primary practice address
432 E Long Ave Ste 2 Gastonia NC 28054-2540
Phone: (980) 416-3025
Fax: (980) 448-3419
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X P018517 North Carolina

Profile Details

NPI number 1467162065
LBN Legal business name Locklear, Benny
Credentials LCSWA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2022
Last updated Jul 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467162065 NPPES
North Carolina MEDICAID 1467162065

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