Provider Demographics
NPI:1841730579
Name:BOWDEN MCELROY AND ASSOCIATES, LLC
Entity type:Organization
Organization Name:BOWDEN MCELROY AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:BOWDEN
Authorized Official - Last Name:MCELROY
Authorized Official - Suffix:IV
Authorized Official - Credentials:MED
Authorized Official - Phone:918-346-3665
Mailing Address - Street 1:3104 S ELM PL STE G
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-7949
Mailing Address - Country:US
Mailing Address - Phone:918-346-3665
Mailing Address - Fax:
Practice Address - Street 1:3104 S ELM PL STE G
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-7949
Practice Address - Country:US
Practice Address - Phone:918-346-3665
Practice Address - Fax:918-948-7018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1519101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty