Provider Demographics
NPI:1417335894
Name:BOWLES, HELEN CLAIRE (MS, LPC)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:CLAIRE
Last Name:BOWLES
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1517 RUMSEY AVE
Mailing Address - Street 2:
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-3813
Mailing Address - Country:US
Mailing Address - Phone:307-587-9755
Mailing Address - Fax:307-587-9755
Practice Address - Street 1:1517 RUMSEY AVE
Practice Address - Street 2:
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-3813
Practice Address - Country:US
Practice Address - Phone:307-587-9755
Practice Address - Fax:307-587-9755
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-18
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPPC-929101YP2500X
WYLPC-1728101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY133205801Medicaid