Provider Demographics
NPI:1982634077
Name:BOWER, BARBARA J (LCSW, CEAP, SAP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:BOWER
Suffix:
Gender:F
Credentials:LCSW, CEAP, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 PEACHTREE DUNWOODY RD.
Mailing Address - Street 2:SUITE A425
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328
Mailing Address - Country:US
Mailing Address - Phone:770-822-6847
Mailing Address - Fax:770-804-0018
Practice Address - Street 1:5901 PEACHTREE DUNWOODY RD
Practice Address - Street 2:SUITE A425
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328
Practice Address - Country:US
Practice Address - Phone:770-797-5442
Practice Address - Fax:770-804-0018
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA16241041C0700X
GALCSW16241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical