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Contact Information

BOWEN PSYCHOLOGICAL SERVICES, LLC
5599 FISH HAWK CT
WALDORF, MD20601-4543
 Phone: 301-448-0818
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for BOWEN PSYCHOLOGICAL SERVICES, LLC

NPI # 1609365097
LBN Legal business name BOWEN PSYCHOLOGICAL SERVICES, LLC
Authorized official DESNEY BOWEN - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/01/2018
Last updated 12/03/2020 - About 6 years ago
Identifiers
MD Medicaid 984070200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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