Provider Demographics
NPI:1760031231
Name:MCGOWEN, TARAN LANAE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:TARAN
Middle Name:LANAE
Last Name:MCGOWEN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:TARAN
Other - Middle Name:
Other - Last Name:BOWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1285 N MAIN ST STE 101-5
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-1511
Mailing Address - Country:US
Mailing Address - Phone:826-517-6216
Mailing Address - Fax:817-887-3409
Practice Address - Street 1:1285 N MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-1511
Practice Address - Country:US
Practice Address - Phone:682-651-7621
Practice Address - Fax:817-887-3409
Is Sole Proprietor?:No
Enumeration Date:2019-09-08
Last Update Date:2019-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77026101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional