Provider Demographics
NPI:1134456478
Name:AMY BOWERS PLLC
Entity type:Organization
Organization Name:AMY BOWERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACT THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-414-1101
Mailing Address - Street 1:13233 SAINT ANDREWS DRIVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8549
Mailing Address - Country:US
Mailing Address - Phone:405-414-1101
Mailing Address - Fax:
Practice Address - Street 1:1755 WEST 33RD STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-2091
Practice Address - Country:US
Practice Address - Phone:405-414-1101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-06
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3925101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty