MEDICARE: MR. BRYAN CHARLES LOWERY LPC

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
1	101YP2500X	Professional Counselor	94194	TX
2	101Y00000X	Counselor	94194	TX

General Provider Information

NPI Number	:	1285581041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRYAN CHARLES LOWERY LPC

Provider Business Mailing Address
First Line	:	PO BOX 748465
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-8465
Country	:	US
Telephone Number	:	855-284-7483
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 E STATE HIGHWAY 71
Second Line	:
City	:	WEST POINT
State	:	TX
Zip	:	78963-5122
Country	:	US
Telephone Number	:	979-559-4030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	05/18/2026

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