Organization · NPI-2

Bowen Psychological Services, LLC

Counselor · Waldorf, MD

NPI number1609365097
StatusActive
Last updated in NPPESDec 3, 2020

Details

NPI
1609365097
Entity type
Organization (NPI-2)
Legal business name
Bowen Psychological Services, LLC
Organization subpart
No
Enumeration date
May 1, 2018
Certification date
Dec 3, 2020
Last updated
Dec 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

5599 Fish Hawk Ct
Waldorf, MD 20601-4543

Phone 301-448-0818

Mailing address

150 Post Office Rd Unit 827
Waldorf, MD 20604-7533

Phone 301-448-0818

Other practice locations

3200 Crain Hwy
Waldorf, MD 20603-4841

Phone 240-300-4585

Authorized official

Desney Bowen
Owner/President
3014480818

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Counselor providers in Waldorf, MD