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NPI Code Detail

MEDICARE: STEPHANIE BOWMAN COUNSELING, LLC

MEDICARE: STEPHANIE BOWMAN COUNSELING, LLC
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
1101YM0800XMental Health Counselor4566SC

General Provider Information

NPI Number : 1801198072
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEPHANIE BOWMAN COUNSELING, LLC
Provider Business Mailing Address
First Line : 1821 PICKENS ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2630
Country : US
Telephone Number : 803-556-9379
Fax Number :
Provider Business Practice Location Address
First Line : 1821 PICKENS ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2630
Country : US
Telephone Number : 803-556-9379
Fax Number :
Authorized Official
Title or Position : LICENSED PROFESSIONAL COUNSELOR
Name : STEPHANIE BOWMAN
Credential : LPC
Telephone Number : 803-556-9379
Provider Enumeration Date : 11/22/2010
Last Update Date : 11/22/2010

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