Individual
PHILLIP LOWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
807 BROAD ST, SUITE 411 BOX #2, PROVIDENCE, RI 02907-1676
(401) 941-0756
(401) 941-0757
Mailing address
176 LEAH ST, PROVIDENCE, RI 02908-3906
(401) 331-4585
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00137
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000030460
BLUE CROSS
RI
01
—
18902
BLUE CHIP
RI
01
—
6262427
UNITED HEALTH
RI
05
—
PL35114
—
RI
Enumeration date
09/26/2006
Last updated
08/31/2007
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