Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH FOWLER
Active Sole ProprietorELIZABETH FOWLER is a Mental Health Clinic healthcare provider located in LAGRANGE, Georgia. NPI 1891290177 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · LAGRANGE, GA
Registration Details
- NPI Number
- 1891290177
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2018 (8.3396708913323 yrs)
- Last Updated
- Mar 28, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
122 GORDON COMMERCIAL DR STE CLAGRANGE, GA, 302405754Browse GA providers · Browse ZIP 30240
- Phone
- 7068454045
- Fax
- 7068454367
- Primary Specialty
-
Mental Health Clinic
261QM0801X
Other Mental Health Clinic Providers in LAGRANGE, GA
| Name | Credential | NPI |
|---|---|---|
| MR. DARRELL L MCMULLEN SR. | CASE MANAGER | 1851896161 |
| DOROTHY LAKEIA JOHNSON | — | 1013562073 |
| SHAYNELL SMITH | — | 1609422104 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.