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BOWEN PSYCHOLOGICAL SERVICES LLC NPI 1609365097


NPI Information

NPI: 1609365097
Provider Name: BOWEN PSYCHOLOGICAL SERVICES, LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
5599 FISH HAWK CT
WALDORF, MD
ZIP 20601
Phone: (301) 448-0818
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BOWEN PSYCHOLOGICAL SERVICES, LLC is a counselor in Waldorf, MD. The provider is 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. BOWEN PSYCHOLOGICAL SERVICES, LLC NPI is 1609365097. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5599 FISH HAWK CT
WALDORF, MD
ZIP 20601-543
Phone: (301) 448-0818

The provider's authorized official is Desney Bowen .
The authorized official title is Owner/president and has the following contact phone number (301) 448-0818.

The enumeration date for this NPI number is 5/1/2018 and was last updated on 12/3/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1984070200MEDICAIDMARYLAND

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

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