Lowndes Advocacy Resource Center, Inc

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

LOWNDES ADVOCACY RESOURCE CENTER, INC

Doing business as

Larc

Practice address

1646 E Park Ave
Valdosta, GA 31602-3413

Phone

(229) 244-8290

Fax

(229) 244-3458

NPI assigned

Feb 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Harry A Hamm, PHD

Title

Executive Director

Phone

(229) 244-8290

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LARC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437290855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 E PARK AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316023413",
            "telephone_number": "229-244-8290",
            "fax_number": "229-244-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 E PARK AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316023413",
            "telephone_number": "229-244-8290",
            "fax_number": "229-244-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWNDES ADVOCACY RESOURCE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "229-244-8290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003946955",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LARC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quintorya Lowe
• Shalonda Lowe, BSW
• Tyler Stephen Lowe, LAT, ATC
• Kelly Lowery, DNP, FNP-BC
• Lacey L Lowery, MED, CCC-SLP
• Lowndes County Ambulatory Surgical Center
• Lowndes County Health Services LLC (PruittHealth - Crestwood)
• Lowndes County Health Services LLC (Parkwood Development Center)
• Lowndes County Health Services, LLC (PruittHealth - Lakehaven)
• Lowndes County Health Services, LLC (PruittHealth - Holly Hill)

• Intellectual & Developmental Disabilities Psychologist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Intellectual & Developmental Disabilities Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.