Provider Demographics
NPI:1497531784
Name:LOWEN, MICHELE LEA (LPC)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:LEA
Last Name:LOWEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 HERITAGE LN
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76087-4422
Mailing Address - Country:US
Mailing Address - Phone:682-229-8427
Mailing Address - Fax:
Practice Address - Street 1:101 HERITAGE LN
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76087-4422
Practice Address - Country:US
Practice Address - Phone:682-229-8427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88580101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional