Provider Demographics
NPI:1982768305
Name:BOWLES, ALISON KATHLEEN (MHC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:KATHLEEN
Last Name:BOWLES
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 LEXINGTON AVE FL 17
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10168-1799
Mailing Address - Country:US
Mailing Address - Phone:917-213-1330
Mailing Address - Fax:347-230-5035
Practice Address - Street 1:380 LEXINGTON AVE FL 17
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10168-1799
Practice Address - Country:US
Practice Address - Phone:917-213-1330
Practice Address - Fax:347-230-5035
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003537101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3537OtherNEW YORK STATE LICENSE NUMBER