LOWELL OWEN WAVRICK LAC
NPI 1508380569
Counselor - Addiction (Substance Use Disorder) in Missoula, MT

Active since August 01, 2017
4998 SONOMA ST, MISSOULA, MT 59808(406) 945-1730 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Dec 29, 2020, Aug 1, 2017 (3 updates tracked since 2017).

About Lowell Owen Wavrick Lac NPPES

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

LOWELL OWEN WAVRICK LAC (NPI 1508380569) is an individual addiction (substance use disorder) provider in Missoula, Montana, licensed in Montana (BBH-LAC-LIC-24926) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1508380569
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLOWELL OWEN WAVRICKCredential: LAC
Location Address4998 SONOMA STMissoula, MT 59808-8694
Mailing Address4998 Sonoma StMissoula, MT 59808-8694 · (406) 945-1730
Sole ProprietorYes
Enumeration DateAugust 1, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
NPI 1508380569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MT · BBH-LAC-LIC-24926
4998 SONOMA ST, Missoula, MT 59808

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Lowell Wavrick's NPI number?

The NPI number for Lowell Wavrick is 1508380569. It was assigned to this individual provider in the NPPES registry on August 1, 2017.

Where is Lowell Wavrick located?

Lowell Wavrick practices at 4998 Sonoma St, Missoula, MT 59808. The listed phone number is (406) 945-1730.

What is Lowell Wavrick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lowell Wavrick was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.