Provider Demographics
NPI:1568104883
Name:BOWER, MEGHAN ELIZABETH (LCPC)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:ELIZABETH
Last Name:BOWER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:ELIZABETH
Other - Last Name:GRAVES-BOWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGPC, CAC-AD
Mailing Address - Street 1:2855 COUNTRY WOODS CT
Mailing Address - Street 2:
Mailing Address - City:FINKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21048-2091
Mailing Address - Country:US
Mailing Address - Phone:443-683-0069
Mailing Address - Fax:
Practice Address - Street 1:2855 COUNTRY WOODS CT
Practice Address - Street 2:
Practice Address - City:FINKSBURG
Practice Address - State:MD
Practice Address - Zip Code:21048-2091
Practice Address - Country:US
Practice Address - Phone:443-683-0069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-07
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP11079101YP2500X
MDLC12587101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional