BLAKE ANTHONY FOWLER APC, NCC
NPI 1053097923
Counselor in Lawrenceville, GA

Q: What is Blake Fowler's NPI number?

The NPI number for Blake Fowler is 1053097923. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Q: What is Blake Fowler's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Blake Fowler was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 26, 2023

175 GWINNET DRIVE, LAWRENCEVILLE, GA 30046(678) 209-2394 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Blake Anthony Fowler Apc, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE ANTHONY FOWLER APC, NCC (NPI 1053097923) is an individual counselor in Lawrenceville, Georgia, licensed in Georgia (APC009118) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1053097923

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameBLAKE ANTHONY FOWLERCredential: APC, NCC

Location Address175 GWINNET DRIVELawrenceville, GA 30046

Mailing Address337 Osprey PointStone Mountain, GA 30087 · (470) 286-5985

Phone(678) 209-2394

Sole ProprietorNo

Enumeration DateJune 26, 2023

NPPES CertifiedJune 26, 2023

✔ NPI 1053097923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in GA · APC009118

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

175 GWINNET DRIVE, Lawrenceville, GA 30046

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY WILLIAMS LAPC

Counselor (Mental Health)

175 GWINNET DRIVE
LAWRENCEVILLE, GA 30046

Gwinnett County (678) 209-2394

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Fowler's NPI number?

The NPI number for Blake Fowler is 1053097923. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Blake Fowler located?

Blake Fowler practices at 175 Gwinnet Drive, Lawrenceville, GA 30046. The listed phone number is (678) 209-2394.

What is Blake Fowler's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Blake Fowler was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.