NPIMap

Marlo D Lowe

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · North Little Rock, AR

NPI 1265701643 · NPPES record last updated Feb 9, 2012

Key facts

NPI
1265701643
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
628 W Broadway St
Suite 300
North Little Rock, AR 72114-5544
Phone
(501) 372-4242
Fax
(501) 372-4758
NPI assigned
Dec 14, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency,Inc. Past
since Mar 14, 2018		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

628 W Broadway St
Suite 300
North Little Rock, AR 72114-5544

Mailing address

9410 Vanderbilt Dr
Little Rock, AR 72204-4358
Phone (501) 223-2413

Other identifiers

IdentifierTypeStateIssuer
189960740MedicaidAR

Other providers in North Little Rock, AR

All providers in North Little Rock, AR · Addiction (Substance Use Disorder) Counselor in Arkansas

Sources for this page

Verify at the official NPI Registry.