Healthcare Provider Details

I. General information

NPI: 1144137423
Provider Name (Legal Business Name): AYANNA UNIQUE LOWE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 S STATE ROAD 7
WELLINGTON FL
33449-8037
US

IV. Provider business mailing address

106 ARROWHEAD CIR
JUPITER FL
33458-7303
US

V. Phone/Fax

Practice location:
  • Phone: 561-228-5242
  • Fax:
Mailing address:
  • Phone: 800-337-5965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW23281
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: