Provider Demographics
NPI:1851326599
Name:BOWMAN, NANCY M (LPC)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:M
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 E PARHAM RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-2760
Mailing Address - Country:US
Mailing Address - Phone:804-755-7323
Mailing Address - Fax:804-755-1215
Practice Address - Street 1:4100 E PARHAM RD
Practice Address - Street 2:SUITE B
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-2760
Practice Address - Country:US
Practice Address - Phone:804-755-7323
Practice Address - Fax:804-755-1215
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701000918101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA085900OtherSENTARA
VA100622OtherANTHEM
VA000321OtherVALUE OPTIONS
VA7310675OtherAETNA PIN #