Provider Demographics
NPI:1346531894
Name:ROWLISON DIVERSIFIED INVESTMENTS
Entity Type:Organization
Organization Name:ROWLISON DIVERSIFIED INVESTMENTS
Other - Org Name:CLEARWATER COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWLISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-983-7892
Mailing Address - Street 1:1802 WOODDALE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2927
Mailing Address - Country:US
Mailing Address - Phone:651-983-7892
Mailing Address - Fax:651-264-3039
Practice Address - Street 1:1802 WOODDALE DR STE 101
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2927
Practice Address - Country:US
Practice Address - Phone:651-983-7892
Practice Address - Fax:651-212-4884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty