Elizabeth Fowler
Clinic/Center, Mental Health (Including Community Mental Health Center) in Lagrange, GA. Individual provider (NPI-1).
NPI number1891290177
StatusActive
Last updated in NPPESMar 28, 2018
Details
- NPI
- 1891290177
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Fowler
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2018
- Last updated
- Mar 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
122 Gordon Commercial Dr Ste CLagrange, GA 30240-5754
Phone 706-845-4045 · Fax 706-845-4367
Mailing address
122 Gordon Commercial Dr Ste CLagrange, GA 30240-5754
Phone 706-845-4045 · Fax 706-845-4367
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Other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Lagrange, GA
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All 5 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Lagrange · All 1,064 providers in Lagrange
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