MEDICARE: NICKIA SHAWNELL LOWERY MHS. LPC, NCC

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	LPC009457	GA
2	101YP2500X	Professional Counselor	PC008624	PA
3	101YP2500X	Professional Counselor	LPCC21222	CA

General Provider Information

NPI Number	:	1437498367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICKIA SHAWNELL LOWERY MHS. LPC, NCC

Provider Business Mailing Address
First Line	:	1917 POST GROVE RD
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-3265
Country	:	US
Telephone Number	:	610-509-5055
Fax Number	:

Provider Business Practice Location Address
First Line	:	1917 POST GROVE RD
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-3265
Country	:	US
Telephone Number	:	610-509-5055
Fax Number	:

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

Provider Enumeration Date	:	02/13/2013
Last Update Date	:	02/02/2026

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