Individual
MR. ROBLEY KIVETTE BOWMAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPA
Contact information
Practice address
1725 SOUTH MAIN STREET, SUITE 202, WAKE FOREST, NC 27587
(919) 556-6501
(919) 556-4933
Mailing address
904 SWEET OLIVE COURT, WAKE FOREST, NC 27587
(919) 606-1862
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2245
NC
101YP2500X
Professional Counselor
Primary
2245
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046MJ
BCBS
NC
05
—
6107139
—
NC
01
—
8236
FIVE COUNTY MENTAL HEALTH
NC
Enumeration date
08/31/2006
Last updated
09/11/2025
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