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General NPI Number Information
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NPI Number | 1437009404
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Entity Type | Organization
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Legal Business Name | ANISSA BOWERS LMFT LLC
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 2310 N PATTERSON ST BLDG H
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City | VALDOSTA
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State | GA
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Zip | 31602-2500
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Country | US
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Telephone | 229-333-0300
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Fax | 229-333-0306
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Provider Business Mailing Address
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Address Line | 4193 WATERBERRY CIR
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City | VALDOSTA
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State | GA
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Zip | 31602-7606
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Country | US
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Telephone | 618-381-6931
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | ANISSA BOWERS
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Credential | LMFT
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Telephone | 618-381-6931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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