MEDICARE: MS. YOLANDA MARIE LOWERY LPC-S

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	81972	TX
2	101YP2500X	Professional Counselor	3886	LA

General Provider Information

NPI Number	:	1477827582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YOLANDA MARIE LOWERY LPC-S

Provider Business Mailing Address
First Line	:	1840 N ALAMEDA DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-8803
Country	:	US
Telephone Number	:	225-930-4530
Fax Number	:	225-930-4532

Provider Business Practice Location Address
First Line	:	1840 N ALAMEDA DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-8803
Country	:	US
Telephone Number	:	225-930-4530
Fax Number	:	225-930-4532

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

Provider Enumeration Date	:	03/07/2012
Last Update Date	:	03/04/2026

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