Provider Demographics
NPI:1114379112
Name:LOWRY COUNSELING LLC
Entity Type:Organization
Organization Name:LOWRY COUNSELING LLC
Other - Org Name:CONCEPTS COUNSELING AND PSYCHOTHERAPY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:IOANNIDES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:720-319-7319
Mailing Address - Street 1:6105 S. MAIN ST. #219
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016
Mailing Address - Country:US
Mailing Address - Phone:720-319-7319
Mailing Address - Fax:303-379-4607
Practice Address - Street 1:6105 S. MAIN ST. #219 AURORA, CO 80016
Practice Address - Street 2:2401 S. LOGAN ST.
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210
Practice Address - Country:US
Practice Address - Phone:720-319-7319
Practice Address - Fax:303-379-4607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-01
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9926741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO31236014Medicaid
CO08105031Medicaid