Provider Demographics
NPI:1982384558
Name:BOWMAN, STEPHANIE CHERYL (CMHC ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:CHERYL
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:CMHC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 MEADOWBROOK LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-6822
Mailing Address - Country:US
Mailing Address - Phone:828-200-5332
Mailing Address - Fax:
Practice Address - Street 1:33 E MAIN ST # 22
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-3088
Practice Address - Country:US
Practice Address - Phone:828-200-5332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18913101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health