MEDICARE: TIMOTHY LEWIS OWENS M.S.

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
1	101YM0800X	Mental Health Counselor	17451	TX

General Provider Information

NPI Number	:	1710255955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY LEWIS OWENS M.S.

Provider Business Mailing Address
First Line	:	2625 N PEORIA AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74106-2512
Country	:	US
Telephone Number	:	918-794-0197
Fax Number	:

Provider Business Practice Location Address
First Line	:	3415 GREYSTONE DR STE 102A
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-2314
Country	:	US
Telephone Number	:	737-381-1717
Fax Number	:	737-381-1717

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2011
Last Update Date	:	08/27/2025

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