Provider Demographics
NPI:1447970272
Name:LOWE, MARIBETH BIDEZ (LMHC)
Entity type:Individual
Prefix:
First Name:MARIBETH
Middle Name:BIDEZ
Last Name:LOWE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 E 85TH ST APT 30H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-2143
Mailing Address - Country:US
Mailing Address - Phone:706-455-2912
Mailing Address - Fax:
Practice Address - Street 1:185 E 85TH ST APT 30H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-2143
Practice Address - Country:US
Practice Address - Phone:706-455-2912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0011667101YM0800X
NY009344101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health