Provider Demographics
NPI:1154067601
Name:BOWERS, SHARI TEEPLE (LLMSW)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:TEEPLE
Last Name:BOWERS
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 WIENEKE RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2600
Mailing Address - Country:US
Mailing Address - Phone:989-262-7385
Mailing Address - Fax:989-652-3916
Practice Address - Street 1:2825 WIENEKE RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2600
Practice Address - Country:US
Practice Address - Phone:989-262-7385
Practice Address - Fax:989-652-3916
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511090741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical