Healthcare Provider Details

I. General information

NPI: 1528735362
Provider Name (Legal Business Name): CHRISTINE RENEE LOWE LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2021
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7152 BUNKER CV
MENTOR OH
44060-5336
US

IV. Provider business mailing address

7152 BUNKER CV
MENTOR OH
44060-5336
US

V. Phone/Fax

Practice location:
  • Phone: 440-364-2543
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2607126
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: