MEDICARE: BRITTANY BOWMAN MA, 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
1	101YP2500X	Professional Counselor	77694	TX

General Provider Information

NPI Number	:	1942721055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY BOWMAN MA, LPC

Provider Business Mailing Address
First Line	:	810 DOVER ST
Second Line	:
City	:	PILOT POINT
State	:	TX
Zip	:	76258-2655
Country	:	US
Telephone Number	:	254-366-9612
Fax Number	:

Provider Business Practice Location Address
First Line	:	6860 DALLAS PKWY STE 241
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-4232
Country	:	US
Telephone Number	:	469-607-0076
Fax Number	:

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

Provider Enumeration Date	:	06/28/2017
Last Update Date	:	09/02/2020

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