Provider Demographics
NPI:1104347822
Name:LOWERY, SARA NICOLE (LPC/LCAS)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:NICOLE
Last Name:LOWERY
Suffix:
Gender:F
Credentials:LPC/LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 HILL RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-3580
Mailing Address - Country:US
Mailing Address - Phone:828-559-7325
Mailing Address - Fax:
Practice Address - Street 1:248 HILL RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-3580
Practice Address - Country:US
Practice Address - Phone:828-559-7325
Practice Address - Fax:828-544-1201
Is Sole Proprietor?:No
Enumeration Date:2017-07-03
Last Update Date:2023-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-20646101YA0400X
NC14148101YM0800X, 101YP2500X
NCA14148101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health