Provider Demographics
NPI:1639454861
Name:BOWEN, ANIKA K (LMHC)
Entity Type:Individual
Prefix:MS
First Name:ANIKA
Middle Name:K
Last Name:BOWEN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7491 W OAKLAND PARK BLVD SUITE 308
Mailing Address - Street 2:
Mailing Address - City:FT LAUDEDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4966
Mailing Address - Country:US
Mailing Address - Phone:954-746-5667
Mailing Address - Fax:954-746-6387
Practice Address - Street 1:7491 W OAKLAND PARK BLVD SUITE 308
Practice Address - Street 2:
Practice Address - City:FT LAUDEDALE
Practice Address - State:FL
Practice Address - Zip Code:33319-4966
Practice Address - Country:US
Practice Address - Phone:954-746-5667
Practice Address - Fax:954-746-6387
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10698101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health