Provider Demographics
NPI:1760687115
Name:BALKE-LOWRY, MARILYN K (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARILYN
Middle Name:K
Last Name:BALKE-LOWRY
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 1:8417 KING ARTHURS CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-9505
Mailing Address - Country:US
Mailing Address - Phone:713-252-4190
Mailing Address - Fax:936-447-1494
Practice Address - Street 1:8417 KING ARTHURS CT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316-9505
Practice Address - Country:US
Practice Address - Phone:713-252-4190
Practice Address - Fax:936-447-1494
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC#02349101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional