Individual provider · Type 1 NPI

Elizabeth Fowler

Mental Health Clinic/Center (Including Community Mental Health Center) · Lagrange, GA

NPI number 1891290177 Active

Practice location

122 Gordon Commercial Dr Ste C
Lagrange, GA 30240-5754

Fax (706) 845-4367

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1891290177

Elizabeth Fowler's National Provider Identifier is 1891290177, issued on Mar 28, 2018. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Lagrange, GA. The record was last updated on Mar 28, 2018.