Organization
BILLIE BOWEN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BILLIE RUTH BOWEN L.P.C. (OWNER)
(903) 561-3600
Entity
Organization
Contact information
Practice address
2010 SYBIL LN STE 106, TYLER, TX 75703-1821
(903) 561-3600
(903) 363-9043
Mailing address
3605 WOODS BLVD, TYLER, TX 75707-1663
(903) 561-3600
(903) 363-9043
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14741
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121978406
—
TX
Enumeration date
01/23/2009
Last updated
01/23/2009
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