Healthcare Provider Details

I. General information

NPI: 1730911801
Provider Name (Legal Business Name): BOWERS COUNSELING AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2024
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 E PARK ST STE 2
CHARDON OH
44024-1272
US

IV. Provider business mailing address

102 E PARK ST STE 2
CHARDON OH
44024-1272
US

V. Phone/Fax

Practice location:
  • Phone: 440-276-5284
  • Fax:
Mailing address:
  • Phone: 440-276-5284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: AMBER BOWERS
Title or Position: OWNER
Credential: LPCC-S
Phone: 440-276-5284