Healthcare Provider Details

I. General information

NPI: 1114379112
Provider Name (Legal Business Name): LOWRY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2016
Last Update Date: 09/28/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6105 S. MAIN ST. #219 AURORA, CO 80016 2401 S. LOGAN ST.
DENVER CO
80210
US

IV. Provider business mailing address

6105 S. MAIN ST. #219
AURORA CO
80016
US

V. Phone/Fax

Practice location:
  • Phone: 720-319-7319
  • Fax: 303-379-4607
Mailing address:
  • Phone: 720-319-7319
  • Fax: 303-379-4607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number992674
License Number StateCO

VIII. Authorized Official

Name: MS. JOANNA IOANNIDES
Title or Position: OWNER
Credential: LCSW
Phone: 720-319-7319