Healthcare Provider Details

I. General information

NPI: 1558216135
Provider Name (Legal Business Name): DOWELL THERAPY & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N MYERS ST
BURBANK CA
91506-1740
US

IV. Provider business mailing address

971 US HIGHWAY 202 N # 8337
BRANCHBURG NJ
08876-3757
US

V. Phone/Fax

Practice location:
  • Phone: 909-616-1004
  • Fax:
Mailing address:
  • Phone: 909-616-1004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KIERA DOWELL
Title or Position: CLINICIAN
Credential: LCSW
Phone: 704-650-5247