Healthcare Provider Details

I. General information

NPI: 1265299747
Provider Name (Legal Business Name): WILLIAM D ROWLEY SR. LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2024
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 ROUTE 9 S
CAPE MAY COURT HOUSE NJ
08210-2711
US

IV. Provider business mailing address

1200 ROUTE 9 S
CAPE MAY COURT HOUSE NJ
08210-2711
US

V. Phone/Fax

Practice location:
  • Phone: 609-463-0500
  • Fax:
Mailing address:
  • Phone: 609-463-0500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37AC00762800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00411500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: