Provider Demographics
NPI:1275314015
Name:LOWKEY AND SERENE LLC
Entity Type:Organization
Organization Name:LOWKEY AND SERENE LLC
Other - Org Name:LOWKEY AND SERENE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:
Authorized Official - Last Name:LIEBERSPIESS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:505-226-1926
Mailing Address - Street 1:555 CAMPFIRE RD SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-2304
Mailing Address - Country:US
Mailing Address - Phone:505-980-0630
Mailing Address - Fax:
Practice Address - Street 1:5640 VENICE AVE NE STE L
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2350
Practice Address - Country:US
Practice Address - Phone:505-226-1920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical