MEDICARE: STEVEN OWENS

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1841128295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN OWENS

Provider Business Mailing Address
First Line	:	4936 PEACHTREE CORNERS CIR UNIT 526
Second Line	:
City	:	PEACHTREE CORNERS
State	:	GA
Zip	:	30092-1567
Country	:	US
Telephone Number	:	912-661-4769
Fax Number	:

Provider Business Practice Location Address
First Line	:	4936 PEACHTREE CORNERS CIR UNIT 526
Second Line	:
City	:	PEACHTREE CORNERS
State	:	GA
Zip	:	30092-1567
Country	:	US
Telephone Number	:	912-661-4769
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. STEVEN SEAN OWENS
Credential	:	LPC
Telephone Number	:	912-661-4769

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/20/2026

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