Organization
BOWDEN ENTERPRISE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY BOWDEN (CEO)
(857) 242-1139
Entity
Organization
Contact information
Practice address
7341 WINDY CT W, BAILEY, NC 27807-8953
(857) 242-1139
Mailing address
PO BOX 411, BAILEY, NC 27807-0411
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
28340
IN
103TF0200X
Forensic Psychologist
28340
IN
103TP2701X
Group Psychotherapy Psychologist
Primary
28340
IN
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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