Provider Demographics
NPI:1760711451
Name:BOWERS, NAOMI (LPC)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:BOWERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 S TIMBER ST
Mailing Address - Street 2:
Mailing Address - City:STUTTGART
Mailing Address - State:AR
Mailing Address - Zip Code:72160-6827
Mailing Address - Country:US
Mailing Address - Phone:501-420-2460
Mailing Address - Fax:501-235-3760
Practice Address - Street 1:2202 S TIMBER ST
Practice Address - Street 2:
Practice Address - City:STUTTGART
Practice Address - State:AR
Practice Address - Zip Code:72160-6827
Practice Address - Country:US
Practice Address - Phone:501-420-2460
Practice Address - Fax:501-235-3760
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-09
Last Update Date:2024-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1306074101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR116399726Medicaid