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NPI Code Detail

MEDICARE: ANGELA KAY FOWLER

MEDICARE: ANGELA KAY FOWLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1275485971
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA KAY FOWLER
Provider Business Mailing Address
First Line : 72 PATRICIA PL
Second Line :
City : FENTON
State : MO
Zip : 63026-4606
Country : US
Telephone Number : 636-675-7566
Fax Number :
Provider Business Practice Location Address
First Line : 15455 CONWAY RD STE 117
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-2022
Country : US
Telephone Number : 636-675-7566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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Directions to “ ANGELA KAY FOWLER ” Practice Location

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