Organization
KELLY JO BOWLES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BOWLES (OWNER/LCSW)
(407) 324-6242
Entity
Organization
Contact information
Practice address
14803 FOREST RD, #139, FOREST, VA 24551-9005
(386) 385-4748
Mailing address
14803 FOREST RD, #139, FOREST, VA 24551-9005
(386) 385-4748
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
02/02/2026
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