Provider Demographics
NPI:1336662121
Name:BOWEN COUNSELING SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:BOWEN COUNSELING SOLUTIONS, PLLC
Other - Org Name:THE MARRIAGE PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:972-441-4402
Mailing Address - Street 1:101 W RENNER RD STE 220
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-2081
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 W RENNER RD STE 220
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-2081
Practice Address - Country:US
Practice Address - Phone:972-441-4432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOWEN COUNSELING SOLUTIONS, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-24
Last Update Date:2022-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty