Provider Demographics
NPI:1699934448
Name:SOWERS, LAURIE WILLIAMS (MS,LPC)
Entity type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:WILLIAMS
Last Name:SOWERS
Suffix:
Gender:F
Credentials:MS,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 BRANDY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-9482
Mailing Address - Country:US
Mailing Address - Phone:252-752-8943
Mailing Address - Fax:252-752-8943
Practice Address - Street 1:908 BRANDY CREEK DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-9482
Practice Address - Country:US
Practice Address - Phone:252-752-8943
Practice Address - Fax:252-752-8943
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3092101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor