MR. ROBLEY KIVETTE BOWMAN MA LPA NPI 1306958434

NPI Information

NPI: 1306958434
Provider Name: MR. ROBLEY KIVETTE BOWMAN, MA LPA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1725 SOUTH MAIN STREET
SUITE 202
WAKE FOREST, NC
ZIP 27587
Phone: (919) 556-6501
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MR. Robley Kivette Bowman, MA LPA is a mental health counselor in Wake Forest, NC. MR. Robley Kivette Bowman, MA LPA NPI is 1306958434. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1725 SOUTH MAIN STREET
SUITE 202
WAKE FOREST, NC
ZIP 27587
Phone: (919) 556-6501
Fax: (919) 556-4933

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	2245	NORTH CAROLINA	Yes
2	101YP2500X	Counselor	Professional	2245	NORTH CAROLINA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	046MJ	OTHER	NORTH CAROLINA	BCBS
2	6107139	MEDICAID	NORTH CAROLINA
3	8236	OTHER	NORTH CAROLINA	FIVE COUNTY MENTAL HEALTH
4	046MJ	OTHER	NORTH CAROLINA	NC HEALTH CHOICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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