Provider Demographics
NPI:1669279477
Name:BOWERS, HUNTER CAMILLE
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:CAMILLE
Last Name:BOWERS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 N WINGFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-3428
Mailing Address - Country:US
Mailing Address - Phone:864-360-4334
Mailing Address - Fax:
Practice Address - Street 1:10 DAVIS KEATS DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-6509
Practice Address - Country:US
Practice Address - Phone:864-696-3740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10246101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health