Provider Demographics
NPI:1043931405
Name:GOWIN, SARAH ELIZABETH BARSNESS (MCOUN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH BARSNESS
Last Name:GOWIN
Suffix:
Gender:F
Credentials:MCOUN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3419 ALTA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-4204
Mailing Address - Country:US
Mailing Address - Phone:706-313-5677
Mailing Address - Fax:
Practice Address - Street 1:310 N SELVIDGE ST
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-3145
Practice Address - Country:US
Practice Address - Phone:706-313-5677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC010372101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional