Provider Demographics
NPI:1639903750
Name:JAMES A COWLEY LCSW LTD
Entity type:Organization
Organization Name:JAMES A COWLEY LCSW LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - SOLE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:COWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:248-842-8223
Mailing Address - Street 1:PO BOX 126
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48037-0126
Mailing Address - Country:US
Mailing Address - Phone:248-842-8223
Mailing Address - Fax:
Practice Address - Street 1:29143 EVERGREEN RD APT 16
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-5012
Practice Address - Country:US
Practice Address - Phone:248-842-8223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health