Provider Demographics
NPI:1366287765
Name:MOWERY, MARLOW (MA, LPC-MHSP)
Entity type:Individual
Prefix:
First Name:MARLOW
Middle Name:
Last Name:MOWERY
Suffix:
Gender:F
Credentials:MA, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 MCKENNIE AVE OFC 122
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-2304
Mailing Address - Country:US
Mailing Address - Phone:615-669-6438
Mailing Address - Fax:
Practice Address - Street 1:1108 MCKENNIE AVE OFC 122
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-2304
Practice Address - Country:US
Practice Address - Phone:615-669-6438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-27
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6629101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health