Provider Demographics
NPI:1417530452
Name:LOWERY, NIKKI LASHAWN (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:NIKKI
Middle Name:LASHAWN
Last Name:LOWERY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:NIKKI
Other - Middle Name:LASHAWN
Other - Last Name:LOWERY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NIKKI LOWERY, MA LPC
Mailing Address - Street 1:4100 N MAIN ST STE 204
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-5800
Mailing Address - Country:US
Mailing Address - Phone:803-440-7761
Mailing Address - Fax:803-306-6848
Practice Address - Street 1:4100 N MAIN ST STE 204
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-5800
Practice Address - Country:US
Practice Address - Phone:803-440-7761
Practice Address - Fax:803-306-6848
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7798101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional