Provider Demographics
NPI:1649007378
Name:LYNN BOWMAN, LLC
Entity type:Organization
Organization Name:LYNN BOWMAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MFA, LLC, NCC
Authorized Official - Phone:563-508-8077
Mailing Address - Street 1:717 WOODWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:MI
Mailing Address - Zip Code:48801-1149
Mailing Address - Country:US
Mailing Address - Phone:563-508-8077
Mailing Address - Fax:
Practice Address - Street 1:209 E SUPERIOR ST
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:MI
Practice Address - Zip Code:48801-1818
Practice Address - Country:US
Practice Address - Phone:563-508-8077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty