Provider Demographics
NPI:1356857882
Name:BOWSHER, ARMEDA (SWA)
Entity Type:Individual
Prefix:
First Name:ARMEDA
Middle Name:
Last Name:BOWSHER
Suffix:
Gender:F
Credentials:SWA
Other - Prefix:
Other - First Name:DEE
Other - Middle Name:
Other - Last Name:BOWSHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCDCIII
Mailing Address - Street 1:6400 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1505
Mailing Address - Country:US
Mailing Address - Phone:614-655-3345
Mailing Address - Fax:614-317-4689
Practice Address - Street 1:924 N CABLE RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-1704
Practice Address - Country:US
Practice Address - Phone:419-969-3125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-20
Last Update Date:2024-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLICDC.161724101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)