Healthcare Provider Details

I. General information

NPI: 1003577875
Provider Name (Legal Business Name): STEPHANIE NICOLE BOWMAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE BOWMAN ARSENTY JD

II. Dates (important events)

Enumeration Date: 01/04/2022
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 E 9TH ST
CORALVILLE IA
52241-2209
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-467-2000
  • Fax: 319-467-2506
Mailing address:
  • Phone: 319-467-2000
  • Fax: 319-467-2506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPPC-1241
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number138582
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: