Provider Demographics
NPI:1881403236
Name:FOWLER, SHERRY TURNER (LAPC)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:TURNER
Last Name:FOWLER
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 CLIFTON DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204-1016
Mailing Address - Country:US
Mailing Address - Phone:770-241-5180
Mailing Address - Fax:
Practice Address - Street 1:1011 CLIFTON DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204-1016
Practice Address - Country:US
Practice Address - Phone:770-241-5180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC010041101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional