Provider Demographics
NPI:1881015493
Name:BOWEN, NIKOL V (PHD, PCC)
Entity Type:Individual
Prefix:DR
First Name:NIKOL
Middle Name:V
Last Name:BOWEN
Suffix:
Gender:F
Credentials:PHD, PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1157 WHITNEY LN
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-3688
Mailing Address - Country:US
Mailing Address - Phone:614-899-0075
Mailing Address - Fax:614-899-0075
Practice Address - Street 1:1890 NORTHWEST BLVD
Practice Address - Street 2:SUITE 140
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-1637
Practice Address - Country:US
Practice Address - Phone:614-899-0075
Practice Address - Fax:614-899-0075
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-27
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0700105101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health