Healthcare Provider Details

I. General information

NPI: 1427714385
Provider Name (Legal Business Name): AMY FRANCES BOWMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2021
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6530 SECOR RD STE 10
LAMBERTVILLE MI
48144-9456
US

IV. Provider business mailing address

6530 SECOR RD STE 10
LAMBERTVILLE MI
48144-9456
US

V. Phone/Fax

Practice location:
  • Phone: 734-854-7061
  • Fax: 530-654-7061
Mailing address:
  • Phone: 734-854-7061
  • Fax: 530-654-7061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451022007
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: