Healthcare Provider Details

I. General information

NPI: 1487831533
Provider Name (Legal Business Name): RUTH LOWE BSW, LCAS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2008
Last Update Date: 01/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 WINDSOR CT
FRANKLINTON NC
27525-8034
US

IV. Provider business mailing address

105 WINDSOR CT
FRANKLINTON NC
27525-8034
US

V. Phone/Fax

Practice location:
  • Phone: 919-562-1931
  • Fax:
Mailing address:
  • Phone: 919-562-1931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number3074
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: