Provider Demographics
NPI:1255861167
Name:OWEN, FLORENCE BRIGHT (LCMHC)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:BRIGHT
Last Name:OWEN
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 GLEN RD
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-6601
Mailing Address - Country:US
Mailing Address - Phone:919-889-5384
Mailing Address - Fax:
Practice Address - Street 1:201 GLEN RD
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-6601
Practice Address - Country:US
Practice Address - Phone:919-889-5384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-13
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12212101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health