Provider Demographics
NPI:1578221164
Name:ROWLANDS, GENA A (PHD, LCSW, CAP)
Entity Type:Individual
Prefix:DR
First Name:GENA
Middle Name:A
Last Name:ROWLANDS
Suffix:
Gender:F
Credentials:PHD, LCSW, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2077 VININGS CIR APT 1303
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-2080
Mailing Address - Country:US
Mailing Address - Phone:561-523-0484
Mailing Address - Fax:
Practice Address - Street 1:2077 VININGS CIR APT 1303
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-2080
Practice Address - Country:US
Practice Address - Phone:561-523-0484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00045651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical