Individual
MIKAYLA RAY BOWDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
502 CHERRY RD STE 201, ROCK HILL, SC 29732-3118
(843) 501-1099
(843) 405-2040
Mailing address
455 LAKESHORE PKWY, ROCK HILL, SC 29730-4205
(803) 909-6363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11448
SC
101YP2500X
Professional Counselor
Primary
11448
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15912823
CAQH
—
Enumeration date
06/17/2022
Last updated
08/12/2026
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