Provider Demographics
NPI:1982478269
Name:BOWMAN, AMBERLY RENEE (LPC)
Entity type:Individual
Prefix:MISS
First Name:AMBERLY
Middle Name:RENEE
Last Name:BOWMAN
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 1:6600 ALEXIS ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77708-1245
Mailing Address - Country:US
Mailing Address - Phone:409-617-9656
Mailing Address - Fax:
Practice Address - Street 1:485 MILAM ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-3518
Practice Address - Country:US
Practice Address - Phone:409-832-7757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-08
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93254101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional