| Timothy Lowe, LPC | |
|
240 E Westfield Ave Apt C18, Roselle Park, NJ 07204-2326 | |
| (732) 857-0399 | |
| Not Available |
| Full Name | Timothy Lowe |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 240 E Westfield Ave Apt C18, Roselle Park, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750981197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37PC00715600 (New Jersey) | Primary |
| Entity Name | Stacey Nicholas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376843615 PECOS PAC ID: 9931503406 Enrollment ID: O20210805000190 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Lowe, LPC 240 E Westfield Ave Apt C18, Roselle Park, NJ 07204-2326 Ph: (732) 857-0399 | Timothy Lowe, LPC 240 E Westfield Ave Apt C18, Roselle Park, NJ 07204-2326 Ph: (732) 857-0399 |
Lashawn Meri Adams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 W Westfield Ave Unit 407, Roselle Park, NJ 07204 Phone: 973-776-2051 | |
Lilly Manzo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 526 Roosevelt St, Roselle Park, NJ 07204 Phone: 908-463-3830 | |
Rio Dixon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Union Rd, Roselle Park, NJ 07204 Phone: 973-289-2737 |