Organization
BOWEN PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESNEY BOWEN LCPC (OWNER/PRESIDENT)
(301) 448-0818
Entity
Organization
Contact information
Practice address
5599 FISH HAWK CT, WALDORF, MD 20601-4543
(301) 448-0818
Mailing address
150 POST OFFICE RD UNIT 827, WALDORF, MD 20604-7533
(301) 448-0818
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
984070200
—
MD
Enumeration date
05/01/2018
Last updated
12/03/2020
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