MARY LESLIE WILSON FOWLER LPC
NPI 1598916280
Counselor - Professional in Grenada, MS
About Mary Leslie Wilson Fowler Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY LESLIE WILSON FOWLER LPC (NPI 1598916280) is an individual professional provider in Grenada, Mississippi, licensed in Mississippi (1157) and active in the NPI registry since October 2008.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary Wilson Fowler's NPI number?
The NPI number for Mary Wilson Fowler is 1598916280. It was assigned to this individual provider in the NPPES registry on October 1, 2008. The provider is also known as Mary Leslie Wilson Lpc.
Where is Mary Wilson Fowler located?
Mary Wilson Fowler practices at 1800 Hill Dr Ste E, Grenada, MS 38901. The listed phone number is (662) 582-3193.
What is Mary Wilson Fowler's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
When was this NPI record last updated?
The NPPES record for Mary Wilson Fowler was last updated on October 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mary Leslie Wilson Fowler, LPC · NPI 1598916280
Professional provider in Grenada, Mississippi. Individual provider, active in the CMS NPPES registry since October 1, 2008.
## Identity
- **NPI:** 1598916280 (Entity type: Individual)
- **Enumerated:** October 1, 2008
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 1157 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1800 HILL DR STE E, Grenada, MS 38901-5071
- **Phone:** (662) 582-3193
## Record status
- **NPPES last updated:** October 1, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1598916280) · Data from the CMS NPPES public registry.