Provider Demographics
NPI:1003184888
Name:GOWIN, DENNIS (LMHC)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:
Last Name:GOWIN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3806 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLMES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34217-1952
Mailing Address - Country:US
Mailing Address - Phone:941-807-3974
Mailing Address - Fax:810-222-7923
Practice Address - Street 1:3806 6TH AVE
Practice Address - Street 2:
Practice Address - City:HOLMES BEACH
Practice Address - State:FL
Practice Address - Zip Code:34217-1952
Practice Address - Country:US
Practice Address - Phone:941-807-3974
Practice Address - Fax:810-222-7923
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2012-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8320101Y00000X
FL5224101YA0400X
101YP1600X
VA0701004772101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health