Provider Demographics
NPI:1114267978
Name:LOWERY, AMY (LMFTA)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:LOWERY
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8621 COVEDALE CROSSINGS CIR
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-5698
Mailing Address - Country:US
Mailing Address - Phone:704-236-0304
Mailing Address - Fax:
Practice Address - Street 1:18637 NORTHLINE DR STE H
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-9322
Practice Address - Country:US
Practice Address - Phone:704-765-2343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8091A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist