Provider Demographics
NPI:1154862696
Name:ROWAN, ELEISHA (LMHC)
Entity Type:Individual
Prefix:
First Name:ELEISHA
Middle Name:
Last Name:ROWAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ELEISHA
Other - Middle Name:
Other - Last Name:REEG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:18635 298TH AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:IA
Mailing Address - Zip Code:52031-9248
Mailing Address - Country:US
Mailing Address - Phone:563-451-6681
Mailing Address - Fax:
Practice Address - Street 1:229 S MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:MAQUOKETA
Practice Address - State:IA
Practice Address - Zip Code:52060-3011
Practice Address - Country:US
Practice Address - Phone:563-321-6929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-16
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA076976101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health