Provider Demographics
NPI:1720248115
Name:MCGOWAN COUNSELING SERVICES, P. A.
Entity Type:Organization
Organization Name:MCGOWAN COUNSELING SERVICES, P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCGOWAN
Authorized Official - Suffix:
Authorized Official - Credentials:LSCW
Authorized Official - Phone:910-692-9200
Mailing Address - Street 1:225 N BENNETT ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-4810
Mailing Address - Country:US
Mailing Address - Phone:910-692-9200
Mailing Address - Fax:910-215-0589
Practice Address - Street 1:225 N BENNETT ST
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-4810
Practice Address - Country:US
Practice Address - Phone:910-692-9200
Practice Address - Fax:910-215-0589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC004913104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty