Healthcare Provider Details

I. General information

NPI: 1356262661
Provider Name (Legal Business Name): JULIE CANNON BOWEN LCSW-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CONNER DR STE 200
CHAPEL HILL NC
27514-7038
US

IV. Provider business mailing address

101 CONNER DR STE 200
CHAPEL HILL NC
27514-7038
US

V. Phone/Fax

Practice location:
  • Phone: 919-240-5548
  • Fax: 919-578-8784
Mailing address:
  • Phone: 919-240-5548
  • Fax: 919-578-8784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024146
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: