Provider Demographics
NPI:1780030726
Name:BOWERS, JOSH (LMFT)
Entity type:Individual
Prefix:
First Name:JOSH
Middle Name:
Last Name:BOWERS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N FREEDOM BLVD
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84601-1677
Mailing Address - Country:US
Mailing Address - Phone:801-373-4760
Mailing Address - Fax:801-373-0639
Practice Address - Street 1:39 S 800 E
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-1539
Practice Address - Country:US
Practice Address - Phone:801-735-1682
Practice Address - Fax:801-426-6464
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1041S0200X
UT10371756-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool