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NPI Code Detail

MEDICARE: MS. KAITLYN BOWIE LCPC, LPC

MEDICARE: MS. KAITLYN BOWIE LCPC, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor180.016892IL
2101YP2500XProfessional Counselor11285-125WI
3101YP2500XProfessional Counselor178.019129IL
4101YP2500XProfessional Counselor94169TX

General Provider Information

NPI Number : 1568219178
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAITLYN BOWIE LCPC, LPC
Provider Business Mailing Address
First Line : 1225 NORTH LOOP W STE 935
Second Line :
City : HOUSTON
State : TX
Zip : 77008-1763
Country : US
Telephone Number : 832-937-9520
Fax Number : 832-336-3916
Provider Business Practice Location Address
First Line : 1225 NORTH LOOP W STE 935
Second Line :
City : HOUSTON
State : TX
Zip : 77008-1763
Country : US
Telephone Number : 832-937-9520
Fax Number : 832-336-3916
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2024
Last Update Date : 03/25/2025

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