Healthcare Provider Details

I. General information

NPI: 1255110722
Provider Name (Legal Business Name): BOWMAN TC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 TRAILWOOD DR STE 125
HURST TX
76053-4976
US

IV. Provider business mailing address

5904 S COOPER ST STE 104
ARLINGTON TX
76017-6600
US

V. Phone/Fax

Practice location:
  • Phone: 817-796-9622
  • Fax:
Mailing address:
  • Phone: 817-796-9622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ARIENNE WILLIAMS
Title or Position: COUNSELOR
Credential: LPC
Phone: 936-446-8244