Provider Demographics
NPI:1861964678
Name:LOWERY, ADRIENNE NEALE (MA, LPC, NCC, BC-TMH)
Entity type:Individual
Prefix:MS
First Name:ADRIENNE
Middle Name:NEALE
Last Name:LOWERY
Suffix:
Gender:F
Credentials:MA, LPC, NCC, BC-TMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 WATIES DR
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-7099
Mailing Address - Country:US
Mailing Address - Phone:864-363-8266
Mailing Address - Fax:
Practice Address - Street 1:826 INLET SQUARE DR
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-3800
Practice Address - Country:US
Practice Address - Phone:843-890-3633
Practice Address - Fax:843-502-6694
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-19
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6752101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional