Provider Demographics
NPI:1184052227
Name:BOWEN GROUP FOUNDATION
Entity type:Organization
Organization Name:BOWEN GROUP FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKOL
Authorized Official - Middle Name:V
Authorized Official - Last Name:BOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, PCC
Authorized Official - Phone:614-899-0075
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0700105251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health