Provider Demographics
NPI:1700673530
Name:COUNSELING FOR TRAUMA RECOVERY
Entity type:Organization
Organization Name:COUNSELING FOR TRAUMA RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:BRAIN CONNECTION
Authorized Official - Last Name:BOWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:864-531-2601
Mailing Address - Street 1:5052 OLD BUNCOMBE RD STE A1103
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29617-8259
Mailing Address - Country:US
Mailing Address - Phone:864-531-2601
Mailing Address - Fax:
Practice Address - Street 1:7101 SHORT LEAF PINE CIR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-1360
Practice Address - Country:US
Practice Address - Phone:864-531-2601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health