Healthcare Provider Details

I. General information

NPI: 1376483503
Provider Name (Legal Business Name): CALLIE HARPER-OWSLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CALLIE HARPER LCSW, LCADC

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 E 10TH AVE
BOWLING GREEN KY
42101-2110
US

IV. Provider business mailing address

380 SUWANNEE TRAIL ST
BOWLING GREEN KY
42103-7956
US

V. Phone/Fax

Practice location:
  • Phone: 270-901-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number279535
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW00001213
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: