Provider Demographics
NPI:1205164894
Name:ROWLANDS, WALTER DAN III (LMHC, MCAP, CSAT)
Entity type:Individual
Prefix:MR
First Name:WALTER
Middle Name:DAN
Last Name:ROWLANDS
Suffix:III
Gender:M
Credentials:LMHC, MCAP, CSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 BEAUMONT LN
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2686
Mailing Address - Country:US
Mailing Address - Phone:561-373-6203
Mailing Address - Fax:772-545-0635
Practice Address - Street 1:107 BEAUMONT LN
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2686
Practice Address - Country:US
Practice Address - Phone:561-373-6203
Practice Address - Fax:772-545-0635
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-20
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7547101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH7547OtherDEPARTMENT OF PROFESSIONAL REGULATION