Provider Demographics
NPI:1841925245
Name:BOWMAN, RICHELLE (BS, MA, LPC/A)
Entity type:Individual
Prefix:
First Name:RICHELLE
Middle Name:
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:BS, MA, LPC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4270 GREENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29170-4226
Mailing Address - Country:US
Mailing Address - Phone:803-586-7372
Mailing Address - Fax:
Practice Address - Street 1:1911 BARNWELL ST STE C
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2605
Practice Address - Country:US
Practice Address - Phone:803-567-0064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional