Basic Information
Provider Information
NPI: 1285299594
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOWE
FirstName: BARBARA
MiddleName: JEAN
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 201 W SPRINGDALE AVE
Address2:  
City: KNOXVILLE
State: TN
PostalCode: 379175158
CountryCode: US
TelephoneNumber: 8656370711
FaxNumber:  
Practice Location
Address1: 320 W 3RD NORTH ST
Address2:  
City: MORRISTOWN
State: TN
PostalCode: 378144038
CountryCode: US
TelephoneNumber: 4235812411
FaxNumber: 4235812484
Other Information
ProviderEnumerationDate: 05/02/2019
LastUpdateDate: 05/02/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  Y Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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