Active NPI
Lowes Counseling Center, LLC
- Mental Health Counselor
- Olive Branch, MS
National Provider Identifier
1467032813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LOWES COUNSELING CENTER, LLC
- Practice address
- 9851 Highway 178 Ste a
Olive Branch, MS 38654-3214 - Phone
- (662) 299-4061
- Fax
- (662) 874-6809
- NPI assigned
- Apr 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Persephone Roshall Lowe, PH.D., LPC-S
- Title
- Owner
- Phone
- (662) 299-4061
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
9851 Highway 178 Ste a
Olive Branch, MS 38654-3214
Mailing address
9851 Highway 178 Ste a
Olive Branch, MS 38654-3214
Phone (662) 299-4061
National Provider Directory
National Provider DirectoryLocations
9851 Highway 178
#A
Olive Branch, MS 38654
Phone (662) 253-8324
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Olive Branch, MS
- NPI 1720413479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618012800000",
"number": "1467032813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9851 HIGHWAY 178 STE A",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386543214",
"telephone_number": "662-299-4061",
"fax_number": "662-874-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9851 HIGHWAY 178 STE A",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386543214",
"telephone_number": "662-299-4061",
"fax_number": "662-874-6809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOWES COUNSELING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-10",
"last_updated": "2021-04-10",
"certification_date": "2021-04-10",
"status": "A",
"authorized_official_last_name": "LOWE",
"authorized_official_first_name": "PERSEPHONE",
"authorized_official_middle_name": "ROSHALL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-299-4061",
"authorized_official_credential": "PH.D., LPC-S"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.